Tara Lee Dalton, PA C is a medicare enrolled "Physician Assistant - Medical" in Garland, Utah. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bear River Medical Arts Pc and her current practice location is
300 W 1400 S, Garland, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 257-2469.
Tara Lee Dalton is licensed to practice in Utah (license number 51994251206) 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 1770579146.
Provider's Profile
| Full Name | Tara Lee Dalton |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 300 W 1400 S, Garland, Utah |
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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 Lee Dalton graduated from nursing school in 2002
NPI Data:
- NPI Number: 1770579146
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991720575
- Enrollment ID: I20051012000966
Medical Identifiers
Medical identifiers for Tara Lee Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770579146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 51994251206 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bear River Medical Arts Pc | 5890727887 | 3 |
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 Lee Dalton 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 Lee Dalton, PA C
300 W 1400 S,
Garland, UT 84312-9393
Ph: (435) 257-2469 | Tara Lee Dalton, PA C
300 W 1400 S,
Garland, UT 84312-9393
Ph: (435) 257-2469 |
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