Tara Nicole Andersen, PA-C is a medicare enrolled "Physician Assistant" in Versailles, Missouri. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Curators Of The University Of Missouri and her current practice location is
901 Kidwell Dr, Versailles, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 378-4666.
Tara Nicole Andersen is licensed to practice in Missouri (license number 2022006987) 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 1699418160.
Provider's Profile
| Full Name | Tara Nicole Andersen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 901 Kidwell Dr, Versailles, Missouri |
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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 Nicole Andersen graduated from nursing school in 2021
NPI Data:
- NPI Number: 1699418160
- Provider Enumeration Date: 04/13/2022
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002298528
- Enrollment ID: I20220801000762
Medical Identifiers
Medical identifiers for Tara Nicole Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699418160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2022006987 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Curators Of The University Of Missouri | 4486759560 | 997 |
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 Nicole Andersen 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 |
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Tara Nicole Andersen, PA-C
Po Box 801704,
Kansas City, MO 64180-1704
Ph: () - | Tara Nicole Andersen, PA-C
901 Kidwell Dr,
Versailles, MO 65084-1784
Ph: (573) 378-4666 |
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