Tara Marie Mocker, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Indianapolis, Indiana. Her current practice location is
1050 Wishard Blvd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 274-7447.
Tara Marie Mocker is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245941145.
Provider's Profile
Full Name | Tara Marie Mocker |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1050 Wishard Blvd, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245941145
- Provider Enumeration Date: 12/12/2022
- Last Update Date: 12/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426407040
- Enrollment ID: I20231207003900
Medical Identifiers
Medical identifiers for Tara Marie Mocker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245941145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Marie Mocker 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 Marie Mocker, 2324 E Royal Ct, Des Peres, MO 63131-1941 Ph: (314) 358-5874 | Tara Marie Mocker, 1050 Wishard Blvd, Indianapolis, IN 46202-2872 Ph: (317) 274-7447 |
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