Tara Janae Little, FNP | |
1205 Provident Dr Ste A, Warsaw, IN 46580-3265 | |
(574) 269-8383 | |
(260) 479-2911 |
Full Name | Tara Janae Little |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 1205 Provident Dr Ste A, Warsaw, Indiana |
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 |
---|---|---|---|
1033555966 | NPI | - | NPPES |
201213790 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71004739A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71004739A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kosciusko Medical Group Llc | 5496809956 | 50 |
Entity Name | Kosciusko Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
Mailing Address | Practice Location Address |
---|---|
Tara Janae Little, FNP 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3513 | Tara Janae Little, FNP 1205 Provident Dr Ste A, Warsaw, IN 46580-3265 Ph: (574) 269-8383 |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Provident Dr, Warsaw, IN 46580 Phone: 574-372-3800 Fax: 574-372-5823 | |
Sara M. Vanlaningham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Dr. Amy Deion Stitt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 765-425-5576 | |
Alissa Whittaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-371-9550 Fax: 574-376-4793 | |
Mrs. Candace G Lemke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-1700 | |
Kayla R Cottrill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134 |