Ms Tara Summer Carpenter, PMHNP | |
51 Beechwood Dr, Manorville, NY 11949-2959 | |
(631) 295-6107 | |
Not Available |
Full Name | Ms Tara Summer Carpenter |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 51 Beechwood Dr, Manorville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619754041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 405354 (New York) | Primary |
Entity Name | Positive Change Psychiatry Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265821953 PECOS PAC ID: 7517285455 Enrollment ID: O20150406001187 |
Mailing Address | Practice Location Address |
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Ms Tara Summer Carpenter, PMHNP 51 Beechwood Dr, Manorville, NY 11949-2959 Ph: () - | Ms Tara Summer Carpenter, PMHNP 51 Beechwood Dr, Manorville, NY 11949-2959 Ph: (631) 295-6107 |
Bassey Ulo Enyenihi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 287 Wading River Road, Suite 8, Manorville, NY 11949 Phone: 631-716-5410 | |
Ms. Kerri Ann Petitpain, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18 Scott Ln, Manorville, NY 11949 Phone: 631-905-6890 Fax: 888-920-2296 | |
James L Earl, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 496 County Rd 111, Bldg B, Manorville, NY 11949 Phone: 631-405-3200 Fax: 631-395-6010 | |
Kimberly Ann Riegel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 287 Wading River Road, Unit 2, Manorville, NY 11949 Phone: 631-591-3000 Fax: 631-591-1734 | |
Maryjanine T Hausle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Pidgeon Ct, Manorville, NY 11949 Phone: 631-588-4810 Fax: 631-588-4810 |