Tara Cecelia Stephens, PA-C is a medicare enrolled "Physician Assistant" in Shavertown, Pennsylvania. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Commonwealth Physician Network Llc and her current practice location is
176 N Main St, Shavertown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 675-0900.
Tara Cecelia Stephens is licensed to practice in Pennsylvania (license number MA059506) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205341716.
Provider's Profile
| Full Name | Tara Cecelia Stephens |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 176 N Main St, Shavertown, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tara Cecelia Stephens graduated from nursing school in 2017
NPI Data:
- NPI Number: 1205341716
- Provider Enumeration Date: 12/06/2017
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476813452
- Enrollment ID: I20180213000675
Medical Identifiers
Medical identifiers for Tara Cecelia Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205341716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | MA059506 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Commonwealth Physician Network Llc | 2668696592 | 75 |
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. Tara Cecelia Stephens 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 |
|---|
Tara Cecelia Stephens, PA-C
610 Wyoming Ave,
Kingston, PA 18704-3702
Ph: (570) 288-4556 | Tara Cecelia Stephens, PA-C
176 N Main St,
Shavertown, PA 18708-1121
Ph: (570) 675-0900 |
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