Tammy Renee Backen, MEDICAL ASSISTANT is a
Clinic/center based in Martinsville, Indiana. Tammy Renee Backen is licensed to practice in Indiana (license number E5Z6Y6E3) and her current practice location is
510 Grand Valley Blvd, Martinsville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 516-6292.
NPI number for Tammy Renee Backen is 1497451314 and her current mailing address is 1027 S Basswood Cir, Bloomington, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497451314.
Provider's Profile
| Full Name | Tammy Renee Backen |
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| Gender | Female |
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| Speciality | Clinic/center |
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| Location | 510 Grand Valley Blvd, Martinsville, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497451314
- Provider Enumeration Date: 02/02/2023
- Last Update Date: 02/06/2023
Medical Identifiers
Medical identifiers for Tammy Renee Backen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497451314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | E5Z6Y6E3 (Indiana) | Secondary |
| 261Q00000X | Clinic/center | E5Z6Y6E3 (Indiana) | 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. Tammy Renee Backen 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 |
|---|
Tammy Renee Backen, MEDICAL ASSISTANT
1027 S Basswood Cir,
Bloomington, IN 47403-5842
Ph: (317) 903-3989 | Tammy Renee Backen, MEDICAL ASSISTANT
510 Grand Valley Blvd,
Martinsville, IN 46151-5883
Ph: (765) 516-6292 |
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