Tamera R Binder, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3163 Issued in AZ

Practice address

501 1St Ave
South Sioux City, NE 68776-1703

Phone

(402) 494-3064

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Medical Services

  • Family Medicine Physician
  • South Sioux City, NE
  • NPI 1043251754
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1225033566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 1ST AVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687761703",
            "telephone_number": "402-494-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 1ST AVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687761703",
            "telephone_number": "402-494-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDER",
        "first_name": "TAMERA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3163",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "935760",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee Berg
• Chemane Gaye Berger, CMA
• Kelley Mae Bertrand
• Bethink
• Stacy Ann Bianchini
• Kathleen Rose Blair, RN
• Laurie Ann Blakney
• Emily Bloomquist, B.S
• Samantha Bose
• Sara Boulware, ED.S., NCSP

• Physician Assistant in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.