Tara Elizabeth Wise, APRN, CPNP-PC is a
Pediatrics physician based in Farmersville, Texas. Tara Elizabeth Wise is licensed to practice in Texas (license number 1060963) and her current practice location is 1538 Fm 36 N, Farmersville, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 816-8630.
NPI number for Tara Elizabeth Wise is 1588421465 and her current mailing address is 1538 Fm 36 N, Farmersville, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588421465.
Physician's Profile
| Full Name | Tara Elizabeth Wise |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1538 Fm 36 N, Farmersville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588421465
- Provider Enumeration Date: 03/06/2024
- Last Update Date: 03/06/2024
Medical Identifiers
Medical identifiers for Tara Elizabeth Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588421465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 1060963 (Texas) | 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 Elizabeth Wise 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 Elizabeth Wise, APRN, CPNP-PC
1538 Fm 36 N,
Farmersville, TX 75442-8028
Ph: (972) 816-8630 | Tara Elizabeth Wise, APRN, CPNP-PC
1538 Fm 36 N,
Farmersville, TX 75442-8028
Ph: (972) 816-8630 |
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