Tara L Bomberger, RD, LDN is a
Dietitian, Registered based in Denver, Pennsylvania. Tara L Bomberger is licensed to practice in Pennsylvania (license number DN004877) and her current practice location is
417 Walnut St, Denver, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 799-7676.
NPI number for Tara L Bomberger is 1558619874 and her current mailing address is 417 Walnut St, Denver, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558619874.
Healthcare Provider's Profile
Full Name | Tara L Bomberger |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 417 Walnut St, Denver, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558619874
- Provider Enumeration Date: 08/16/2012
- Last Update Date: 08/16/2012
Medical Identifiers
Medical identifiers for Tara L Bomberger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558619874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN004877 (Pennsylvania) | 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 L Bomberger 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 L Bomberger, RD, LDN 417 Walnut St, Denver, PA 17517-1439 Ph: (717) 799-7676 | Tara L Bomberger, RD, LDN 417 Walnut St, Denver, PA 17517-1439 Ph: (717) 799-7676 |
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