Tara Michele Nelson, PA is a medicare enrolled "Physician Assistant" in Whiteman Air Force Base, Missouri. Her current practice location is
331 Sijen Ave, Whiteman Air Force Base, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 687-2188.
Tara Michele Nelson is licensed to practice in Missouri (license number PYA113653) 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 1528052750.
Provider's Profile
Full Name | Tara Michele Nelson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 331 Sijen Ave, Whiteman Air Force Base, Missouri |
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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: 1528052750
- Provider Enumeration Date: 09/02/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800066192
- Enrollment ID: I20110824000056
Medical Identifiers
Medical identifiers for Tara Michele Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528052750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PYA113653 (Missouri) | Primary |
363A00000X | Physician Assistant | 15-00527 (Kansas) | Secondary |
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 Michele Nelson 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 Michele Nelson, PA 4313 S Greenwich Ln, Independence, MO 64055-4835 Ph: (660) 687-2188 | Tara Michele Nelson, PA 331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 Ph: (660) 687-2188 |
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