Tara Brink, is a
Audiologist based in Alexandria, Minnesota. Tara Brink is licensed to practice in Minnesota (license number 9444) and her current practice location is
606 3rd Ave W, Alexandria, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 759-1764.
NPI number for Tara Brink is 1649630013 and her current mailing address is 9800 45th Ave N Apt 301, Plymouth, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649630013.
Healthcare Provider's Profile
| Full Name | Tara Brink |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 606 3rd Ave W, Alexandria, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649630013
- Provider Enumeration Date: 02/29/2016
- Last Update Date: 02/29/2016
Medical Identifiers
Medical identifiers for Tara Brink such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649630013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 9444 (Minnesota) | 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 Brink 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 Brink,
9800 45th Ave N Apt 301,
Plymouth, MN 55442-2662
Ph: () - | Tara Brink,
606 3rd Ave W,
Alexandria, MN 56308-1325
Ph: (320) 759-1764 |
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