Tara L Fishback, PA-C - Medicare Physician Assistant in Traverse City, MI

Tara L Fishback, PA-C is a medicare enrolled "Physician Assistant" in Traverse City, Michigan. She went to University Of New England, College Of Osteo Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Munson Medical Center and her current practice location is 1221 Sixth St Ste 300, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 392-0640.

Tara L Fishback is licensed to practice in Michigan (license number 5601010328) 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 1528400629.

Contact Information

Tara L Fishback, PA-C
1221 Sixth St Ste 300,
Traverse City, MI 49684-2360
(231) 392-0640
(231) 392-0643

Map and Direction




Provider's Profile

Full NameTara L Fishback
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location1221 Sixth St Ste 300, Traverse City, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara L Fishback attended and graduated from University Of New England, College Of Osteo Medicine in 2013
  NPI Data:
  • NPI Number: 1528400629
  • Provider Enumeration Date: 07/18/2013
  • Last Update Date: 07/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406098821
  • Enrollment ID: I20210624001674

Medical Identifiers

Medical identifiers for Tara L Fishback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528400629NPI-NPPES
832909MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5447 (Arizona)Secondary
363AM0700XPhysician Assistant - Medical 3747-23 (Wisconsin)Secondary
363AM0700XPhysician Assistant - Medical PA1799 (Maine)Secondary
363A00000XPhysician Assistant 5601010328 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Medical CenterTraverse city, MIHospital
Munson Healthcare Cadillac HospitalCadillac, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Medical Center3072426287262

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 L Fishback 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 AddressPractice Location Address
Tara L Fishback, PA-C
1221 Sixth St Ste 300,
Traverse City, MI 49684-2360

Ph: (231) 392-0640
Tara L Fishback, PA-C
1221 Sixth St Ste 300,
Traverse City, MI 49684-2360

Ph: (231) 392-0640

Reviews and Comments


Physician Assistant Nurses in Traverse City, MI

Jeffrey Arbour, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-0497    
Ms. Stacy Zachman Dobreff, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3537 W Front St Ste E, Traverse City, MI 49684
Phone: 231-935-8930    
John Gabriel Tazzi, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3537 W Front St Ste E, Traverse City, MI 49684
Phone: 231-935-5880    Fax: 319-353-4642
Mrs. Kolleen Bartosek, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1225 W Front St Ste C, Traverse City, MI 49684
Phone: 231-642-5031    Fax: 231-525-2306
Derek Hendrickson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth St Ste 200, Traverse City, MI 49684
Phone: 231-935-5800    Fax: 231-935-5799
Cassidy Lynn Warner, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 10850 E Traverse Hwy Ste 1155, Traverse City, MI 49684
Phone: 810-923-3876    
Ronald L Sanders, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 550 Munson Ave, Traverse City, MI 49686
Phone: 231-935-8686    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.