| Tamara M. Wirth, Llc | |
|
103 E 6th St Ste 101 Ames IA 50010-6300 | |
| (515) 337-2872 | |
| Not Available |
| Full Name | Tamara M. Wirth, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 E 6th St Ste 101, Ames, Iowa |
| Authorized Official Name and Position | Tamara M Wirth (OWERN/PROVIDER) |
| Authorized Official Contact | 5153372872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara M. Wirth, Llc 103 E 6th St Ste 101 Ames IA 50010-6300 Ph: (515) 337-2872 | Tamara M. Wirth, Llc 103 E 6th St Ste 101 Ames IA 50010-6300 Ph: (515) 337-2872 |
| NPI Number | 1053058891 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 2860868254 |
|---|---|
| Medicare Enrollment ID | O20221027000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053058891 | NPI | - | NPPES |
| Provider Name | Tamara Marie Wirth Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740545912 PECOS PAC ID: 3779959168 Enrollment ID: I20221027000312 |
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