Miss Tara Jean Teachout, is a
Student In An Organized Health Care Education/training Program based in Pasadena, California. Miss Tara Jean Teachout is licensed to practice in California (license number ) and her current practice location is
2550 E. Foothill Blvd, Pacific Clinics, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 463-1021.
NPI number for Miss Tara Jean Teachout is 1114358306 and her current mailing address is 2550 E. Foothill Blvd, Pacific Clinics, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114358306.
Healthcare Provider's Profile
| Full Name | Miss Tara Jean Teachout |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2550 E. Foothill Blvd, Pasadena, 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: 1114358306
- Provider Enumeration Date: 12/12/2013
- Last Update Date: 12/12/2013
Medical Identifiers
Medical identifiers for Miss Tara Jean Teachout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114358306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (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. Miss Tara Jean Teachout 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 |
|---|
Miss Tara Jean Teachout,
2550 E. Foothill Blvd, Pacific Clinics,
Pasadena, CA 91107
Ph: (626) 463-1021 | Miss Tara Jean Teachout,
2550 E. Foothill Blvd, Pacific Clinics,
Pasadena, CA 91107
Ph: (626) 463-1021 |
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