MIKE TANNEHILL OD
NPI 1447307095
Optometrist in Mt Ida, AR
About Mike Tannehill Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKE TANNEHILL OD (NPI 1447307095) is an individual optometrist in Mt Ida, Arkansas, licensed in Arkansas (2190) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1975).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mike Tannehill Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mike Tannehill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Russellville, AR 72802
- Reassigned Medicare billing, Arkansas enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71957 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mike Tannehill's NPI number?
The NPI number for Mike Tannehill is 1447307095. It was assigned to this individual provider in the NPPES registry on January 5, 2007.
Where is Mike Tannehill located?
Mike Tannehill practices at 138 S George St, Mt Ida, AR 71957. The listed phone number is (870) 867-2814.
What is Mike Tannehill's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mike Tannehill enrolled in Medicare?
Yes. Mike Tannehill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mike Tannehill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mike Tannehill reassigns Medicare benefits to Family Eye Care Of Russellville (Russellville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mike Tannehill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mike Tannehill accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Mike Tannehill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mike Tannehill was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mike Tannehill, OD · NPI 1447307095
Optometrist provider in Mt Ida, Arkansas. Individual provider, active in the CMS NPPES registry since January 5, 2007.
## Identity
- **NPI:** 1447307095 (Entity type: Individual)
- **Enumerated:** January 5, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2190 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 138 S GEORGE ST, Mt Ida, AR 71957-9999
- **Phone:** (870) 867-2814
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Family Eye Care Of Russellville (NPI 1326195181, Russellville, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 1975
## Record status
- **NPPES last updated:** August 21, 2020
- **Other identifiers:** Medicaid 103820722 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1447307095) · Data from the CMS NPPES public registry.