Mrs Tara R Deters, PA-C in Brockway, MI - Medicare Physician Assistant

Mrs Tara R Deters, PA-C is a medicare enrolled "Physician Assistant" in Brockway, Michigan. Her current practice location is 7470 Brockway Rd, Brockway, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 387-3211.

Mrs Tara R Deters is licensed to practice in Michigan (license number 5601004579) 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 1245330521.

Contact Information

	Mrs Tara R Deters, PA-C
	7470 Brockway Rd, Brockway, MI 48097-3458
	(810) 387-3211
	(810) 387-2279

Map and Direction

Provider's Profile

Full Name	Mrs Tara R Deters
Gender	Female
Speciality	Physician Assistant
Location	7470 Brockway Rd, Brockway, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245330521
Provider Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769653450
Enrollment ID: I20110929000651

Medical Identifiers

Medical identifiers for Mrs Tara R Deters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245330521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601004579 (Michigan)	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. Mrs Tara R Deters 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
Mrs Tara R Deters, PA-C 36591 Crimson Ln, New Baltimore, MI 48047-5588 Ph: (586) 716-2780	Mrs Tara R Deters, PA-C 7470 Brockway Rd, Brockway, MI 48097-3458 Ph: (810) 387-3211

Reviews and Comments

Physician Assistant Nurses in Brockway, MI

Brianna J Steadman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7470 Brockway Rd, Brockway, MI 48097 Phone: 810-387-9355 Fax: 810-387-9400
Mrs. Carolyn Marie Richards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7470 Brockway Rd, Brockway, MI 48097 Phone: 810-387-9355
Kathleen Diane Coenen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7470 Brockway Rd, Brockway, MI 48097 Phone: 810-387-9355 Fax: 810-387-9400
Mr. Joseph Gerard Kulczewski, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7470 Brockway Rd, Brockway, MI 48097 Phone: 810-387-3211
Katrina Louise Stachowiak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7470 Brockway Rd, Brockway, MI 48097 Phone: 810-387-9355 Fax: 810-387-9400

Mrs Tara R Deters, PA-C - Medicare Physician Assistant in Brockway, MI