Tara Pitre Gordon, is a
Case Manager/care Coordinator based in Grand Couteau, Louisiana. Tara Pitre Gordon is licensed to practice in Louisiana (license number 005670607) and her current practice location is
123 Church Street, Grand Couteau, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 662-3737.
NPI number for Tara Pitre Gordon is 1578033866 and her current mailing address is 11861 Coursey Blvd, Baton Rouge, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578033866.
Healthcare Provider's Profile
Full Name | Tara Pitre Gordon |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 123 Church Street, Grand Couteau, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578033866
- Provider Enumeration Date: 11/28/2018
- Last Update Date: 02/28/2021
Medical Identifiers
Medical identifiers for Tara Pitre Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578033866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CIT5128 (Louisiana) | Secondary |
171M00000X | Case Manager/care Coordinator | 005670607 (Louisiana) | 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 Pitre Gordon 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 Pitre Gordon, 11861 Coursey Blvd, Baton Rouge, LA 70816-4404 Ph: (225) 612-8656 | Tara Pitre Gordon, 123 Church Street, Grand Couteau, LA 70541 Ph: (337) 662-3737 |
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