Tara Rae Sandusky, APRN - Medicare Nurse Practitioner in Fort Smith, AR

Tara Rae Sandusky, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Smith, Arkansas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Treatment Centers Of America Pllc, Prime Physicians Llc, Fands Physical Therapy, Inc and her current practice location is 1001 Towson Ave, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 441-5005.

Tara Rae Sandusky is licensed to practice in Arkansas (license number 121897) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063069326.

Contact Information

Tara Rae Sandusky, APRN
1001 Towson Ave,
Fort Smith, AR 72901-4921
(479) 441-5005
Not Available



Provider's Profile

Full NameTara Rae Sandusky
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1001 Towson Ave, Fort Smith, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara Rae Sandusky graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1063069326
  • Provider Enumeration Date: 08/21/2019
  • Last Update Date: 09/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325370539
  • Enrollment ID: I20191021002200

Medical Identifiers

Medical identifiers for Tara Rae Sandusky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063069326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 121897 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital Fort SmithFort smith, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pain Treatment Centers Of America Pllc276960881951
Prime Physicians Llc418387817613
Fands Physical Therapy, Inc781089845988

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Rae Sandusky allows following entities to bill medicare on her behalf.
Entity NamePrime Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033454723
PECOS PAC ID: 4183878176
Enrollment ID: O20130128000344

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Entity NamePain Treatment Centers Of America Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841619731
PECOS PAC ID: 2769608819
Enrollment ID: O20140725000128

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Entity NameBaptist Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922587690
PECOS PAC ID: 0648514133
Enrollment ID: O20181211001401

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Rae Sandusky is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tara Rae Sandusky, APRN
1001 Towson Ave,
Fort Smith, AR 72901-4921

Ph: (479) 441-4000
Tara Rae Sandusky, APRN
1001 Towson Ave,
Fort Smith, AR 72901-4921

Ph: (479) 441-5005

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Nurse Practitioner Nurses in Fort Smith, AR

Steven A. Wells, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903
Phone: 479-314-6000    
Valentina Nastasi, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903
Phone: 479-226-8340    
Mrs. Tonya Renea Allen, APRN, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3112 S 70th St, Fort Smith, AR 72903
Phone: 479-452-8600    
Mandi T Williams, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903
Phone: 479-831-6007    Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904
Phone: 479-785-5700    Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901
Phone: 479-709-6850    
Mrs. Gayla Denise Johnson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903
Phone: 479-484-6000    

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