Chauncey Denise Tarrant, MD | |
310 W Losey St, Scott Afb, IL 62225-5250 | |
(618) 256-7018 | |
Not Available |
Full Name | Chauncey Denise Tarrant |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 310 W Losey St, Scott Afb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154646156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 26470 (Nebraska) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Mercy Hospitals East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427098169 PECOS PAC ID: 1658276811 Enrollment ID: O20031209000789 |
Entity Name | Mercy Hospitals East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Entity Name | Mercy Hospital Lincoln |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150217000619 |
Mailing Address | Practice Location Address |
---|---|
Chauncey Denise Tarrant, MD 310 W Losey St, Scott Afb, IL 62225-5250 Ph: (618) 256-7018 | Chauncey Denise Tarrant, MD 310 W Losey St, Scott Afb, IL 62225-5250 Ph: (618) 256-7018 |
Dr. Matthew Richard Keysor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-9355 Fax: 618-256-7640 | |
Jeremy David Moll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7827 | |
Amanda Marie Asbury, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-9355 | |
Kristine Eva Andrews, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Medical Group, 310 W. Losey Street, Scott Afb, IL 62225 Phone: 618-256-7018 Fax: 618-256-7594 | |
Mary Beth Doyle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7018 Fax: 618-256-7594 |