Tara Mae Peterson, PA-C in Baldwin Park, CA - Medicare Obstetrics & Gynecology

Tara Mae Peterson, PA-C is a medicare enrolled "Obstetrics & Gynecology - Complex Family Planning" physician in Baldwin Park, California. Her current practice location is 4070 Sterling Way, Baldwin Park, California. You can reach out to her office (for appointments etc.) via phone at (626) 798-0706.

Tara Mae Peterson is licensed to practice in California (license number 61012) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104474634.

Contact Information

	Tara Mae Peterson, PA-C
	4070 Sterling Way, Baldwin Park, CA 91706-4223
	(626) 798-0706
	Not Available

Map and Direction

Physician's Profile

Full Name	Tara Mae Peterson
Gender	Female
Speciality	Obstetrics & Gynecology - Complex Family Planning
Location	4070 Sterling Way, Baldwin Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104474634
Provider Enumeration Date: 08/28/2019
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8123480670
Enrollment ID: I20230815002404

Medical Identifiers

Medical identifiers for Tara Mae Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104474634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VC0300X	Obstetrics & Gynecology - Complex Family Planning	61012 (California)	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 Mae Peterson 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
Tara Mae Peterson, PA-C 4070 Sterling Way, Baldwin Park, CA 91706-4223 Ph: (626) 798-0706	Tara Mae Peterson, PA-C 4070 Sterling Way, Baldwin Park, CA 91706-4223 Ph: (626) 798-0706

Reviews and Comments

Obstetrics & Gynecology Doctors in Baldwin Park, CA

Gayla P. Ivery, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011
Murali H. Kamath, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011
Nashat Nazeir Ateia, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14135 Francisquito Ave, Suite 106, Baldwin Park, CA 91706 Phone: 626-960-3753 Fax: 626-962-9866
Lyn Yasumura, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011
Leslie A. Tittle, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011
Nelda A. Daoud, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011

Tara Mae Peterson, PA-C - Medicare Obstetrics & Gynecology in Baldwin Park, CA