CARSON STONE TACKETT
NPI 1679355234
Anesthesiologist Assistant in Greenwood Village, CO

NPI Status: Active since October 18, 2023

Contact Information

8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (303) 438-3999
Fax: (720) 439-9500

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  • Individual
  • Male
  • Years of Experience 2
  • Anesthesiologist Assistant
  • Accepts Medicare Approved Payment

About CARSON TACKETT

This page provides the complete NPI Profile along with additional information for Carson Tackett, a provider established in Greenwood Village, Colorado with a medical specialization in Anesthesiologist Assistant and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1679355234 assigned on October 2023. The practitioner's primary taxonomy code is 367H00000X with license number ANT.0000250 (CO). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1679355234
Provider Name
CARSON STONE TACKETT
Gender
Male
Entity Type
Individual
Location Address
8000 E MAPLEWOOD AVE STE 120 GREENWOOD VILLAGE, CO 80111
Location Phone
(303) 438-3999
Location Fax
(720) 439-9500
Mailing Address
PO BOX 840862 DALLAS, TX 75284
Mailing Phone
(303) 377-7638
Mailing Fax
(720) 439-9500
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
10-18-2023
Last Update Date
06-05-2024
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Location Map

Secondary Locations

  • 3300 S University Dr
    Ft Lauderdale, FL 33328
    (800) 541-6682

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
ANT.0000250
License State
CO
Taxonomy Description
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Medicare Participation & PECOS Enrollment Status

Carson Tackett is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8628511482

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240620003628

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679355234
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149651026
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 6 + 5 + 1 + 0 + 2 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1679355234 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568004281 JACQUELYNH KIEU HO VANCE CRNA
Individual
Nurse Anesthetist, Certified Registered8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1073072286 JOIESAH MARIE UY SUNGA CAA
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1194475533 MATTHEW DUNN CAA
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1205842804MR. MATTHEW STEPHEN SCHIERENBERG CAA
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1255318366 PAUL KING MILLER M.D.
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1396271367DR. KYLIE VALENTINE MURASKI M.D.
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1861824328DR. MARCUS A THIES M.D.
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1114651866 JENNIFER LYNN MALOY
Individual
Nurse Anesthetist, Certified Registered8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1336608199DR. LAURA ROSE VALENTE MD
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1720571201 ELIZABETH RENEE MADDOX AA
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1881199636 GISELLA MARIA PERE MD
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1962066720 SEAN STEIN MD
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1982136925 ERIC J AHLSTEDT
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1245790641DR. NEHAH HARINARAYAN MD
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1841279171DR. GLENN M BOLTON MD
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1053789214 TRACY DIANE BURKETT RAMIREZ CAA
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1366762189DR. NICOLAS ANDRES CRESCIMONE MD
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1487431664 ELAINE CASSIDY PACE CAA
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1588447700 KAYLA BROWNING CAA
Individual
Anesthesiologist Assistant8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999
1871080952 MARY ELIZABETH ROSEGRANT DO
Individual
Anesthesiology8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 80111
(303) 438-3999

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679355234, enumerated in the NPI registry as an "individual" on October 18, 2023

The provider is located at 8000 E Maplewood Ave Ste 120 Greenwood Village, Co 80111 and the phone number is (303) 438-3999

The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X

The provider has more than 2 years of experience.

This NPI record was last updated on October 18, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.