Miss Tara Lee Mendieta, LPN is a
Licensed Practical Nurse based in Russells Point, Ohio. Miss Tara Lee Mendieta is licensed to practice in Ohio (license number PN.136844-IV) and her current practice location is
622 State Route 708, Russells Point, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 575-2055.
NPI number for Miss Tara Lee Mendieta is 1992033476 and her current mailing address is 622 State Route 708, Russells Point, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992033476.
Provider's Profile
Full Name | Miss Tara Lee Mendieta |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 622 State Route 708, Russells Point, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992033476
- Provider Enumeration Date: 11/22/2009
- Last Update Date: 11/22/2009
Medical Identifiers
Medical identifiers for Miss Tara Lee Mendieta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992033476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN.136844-IV (Ohio) | 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. Miss Tara Lee Mendieta 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 |
Miss Tara Lee Mendieta, LPN 622 State Route 708, Russells Point, OH 43348-9710 Ph: (419) 575-2055 | Miss Tara Lee Mendieta, LPN 622 State Route 708, Russells Point, OH 43348-9710 Ph: (419) 575-2055 |
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