Tara Matthews, LAC is a
Acupuncturist based in Phelan, California. Tara Matthews is licensed to practice in California (license number AC 10729) and her current practice location is
4120 Phelan Rd, #8, Phelan, California. She can be reached at her office (for appointments etc.) via phone at
(760) 868-8088.
NPI number for Tara Matthews is 1114040045 and her current mailing address is 4120 Phelan Rd, #8, Phelan, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114040045.
Healthcare Provider's Profile
| Full Name | Tara Matthews |
|---|
| Gender | Female |
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| Speciality | Acupuncturist |
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| Location | 4120 Phelan Rd, Phelan, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114040045
- Provider Enumeration Date: 04/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Tara Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114040045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC 10729 (California) | Primary |
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 Matthews is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tara Matthews, LAC
4120 Phelan Rd, #8,
Phelan, CA 92371-3903
Ph: (760) 868-8088 | Tara Matthews, LAC
4120 Phelan Rd, #8,
Phelan, CA 92371-3903
Ph: (760) 868-8088 |
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