Ms Tara Lynn Lassila, PA is a medicare enrolled "Physician Assistant" provider in Hancock, Michigan. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Portage Physician Practices Inc and her current practice location is
500 Campus Dr, Hancock, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 483-1000.
Ms Tara Lynn Lassila is licensed to practice in Michigan (license number 5601007849) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356527063.
Healthcare Provider's Profile
| Full Name | Ms Tara Lynn Lassila |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 500 Campus Dr, Hancock, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Tara Lynn Lassila graduated from medical school in 2016
NPI Data:
- NPI Number: 1356527063
- Provider Enumeration Date: 01/11/2008
- Last Update Date: 07/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 4082778865
- Enrollment ID: I20160809000189
Medical Identifiers
Medical identifiers for Ms Tara Lynn Lassila such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356527063 | NPI | - | NPPES |
| 0C16002 | Other | MI | MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | TL955786 (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5601007849 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Portage Physician Practices Inc | 6103053509 | 36 |
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. Ms Tara Lynn Lassila is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tara Lynn Lassila, PA
500 Campus Dr,
Hancock, MI 49930-1569
Ph: (906) 483-1000 | Ms Tara Lynn Lassila, PA
500 Campus Dr,
Hancock, MI 49930-1569
Ph: (906) 483-1000 |
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