| Tara Helm Debardeleben, NP | |
|
2201 E Camelback Rd Ste 101a, Phoenix, AZ 85016-3495 | |
| (602) 218-4075 | |
| (415) 291-0489 |
| Full Name | Tara Helm Debardeleben |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2201 E Camelback Rd Ste 101a, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265828230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 69134 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iora Senior Health, Llc | 0143520189 | 90 |
| Ashley A Davis M.d.p.c. | 0547204695 | 4 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Entity Name | Omg Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184014854 PECOS PAC ID: 9638499247 Enrollment ID: O20150522000007 |
| Entity Name | Iora Senior Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619376456 PECOS PAC ID: 0143520189 Enrollment ID: O20151124001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Helm Debardeleben, NP 222 N 2nd St, Ste 204, Boise, ID 83702-6130 Ph: (415) 658-6791 | Tara Helm Debardeleben, NP 2201 E Camelback Rd Ste 101a, Phoenix, AZ 85016-3495 Ph: (602) 218-4075 |
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 | |
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999 | |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 | |
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 | |
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507 | |
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919 | |
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5345 |