Dr Tara Leigh Clancy, DO | |
2375 S Melrose Dr, Vista, CA 92081-8788 | |
(760) 305-1900 | |
(760) 305-1910 |
Full Name | Dr Tara Leigh Clancy |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 2375 S Melrose Dr, Vista, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588086003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A 9695 (California) | Secondary |
208000000X | Pediatrics | 20A 9695 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tri-city Medical Center | Oceanside, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John H Clancy Do And Tara Leigh Clancy Do Medical Corporation | 0547485419 | 3 |
Entity Name | John H Clancy Do And Tara Leigh Clancy Do Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053722124 PECOS PAC ID: 0547485419 Enrollment ID: O20140709000697 |
Mailing Address | Practice Location Address |
---|---|
Dr Tara Leigh Clancy, DO 2375 S Melrose Dr, Vista, CA 92081-8788 Ph: (760) 305-1900 | Dr Tara Leigh Clancy, DO 2375 S Melrose Dr, Vista, CA 92081-8788 Ph: (760) 305-1900 |
Michael D Krak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214 | |
Lynette M Asselin, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214 | |
Nassrin Rahimi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892 | |
Dr. Robert E Fredricks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 | |
Dr. Veronica L Naudin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, Suite 180, Vista, CA 92083 Phone: 760-945-3434 Fax: 760-945-6761 | |
Yves B. Terrazas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Dr. Valerie Marie Michelotti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 |