Tara Leisenring, RN is a
Registered Nurse based in Paxinos, Pennsylvania. Tara Leisenring is licensed to practice in Pennsylvania (license number RN618109) and her current practice location is
567 Montour Rd, Paxinos, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 898-2649.
NPI number for Tara Leisenring is 1245084219 and her current mailing address is 398 Airport Rd, Shamokin, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245084219.
Provider's Profile
Full Name | Tara Leisenring |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 567 Montour Rd, Paxinos, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245084219
- Provider Enumeration Date: 04/15/2024
- Last Update Date: 04/15/2024
Medical Identifiers
Medical identifiers for Tara Leisenring such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245084219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN618109 (Pennsylvania) | Primary |
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 Leisenring is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara Leisenring, RN 398 Airport Rd, Shamokin, PA 17872-7504 Ph: (570) 259-9743 | Tara Leisenring, RN 567 Montour Rd, Paxinos, PA 17860-7106 Ph: (570) 898-2649 |
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