| Taggart Venegas, | |
|
2500 W Reynolds St, Pontiac, IL 61764-9774 | |
| (815) 842-2828 | |
| Not Available |
| Full Name | Taggart Venegas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2500 W Reynolds St, Pontiac, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073207890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.009657 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Taggart Venegas, 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: () - | Taggart Venegas, 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: (815) 842-2828 |
William Lee Chang Ii, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-4062 Fax: 815-844-4962 | |
Nicole M. Jack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 Fax: 815-844-5715 | |
Leslie Romersberger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 | |
Danielle Vanderveen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-6551 Fax: 815-842-1793 | |
Richard Saylor, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-4062 Fax: 815-844-4962 | |
John Kincinas, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-4062 Fax: 815-844-4962 |