Mrs Tara Starr Phelps, MA,CCC-SLP in Fort Wayne, IN - Medicare Speech-Language Pathologist Provider

Mrs Tara Starr Phelps, MA,CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fort Wayne, Indiana. Her current practice location is 3110 E Coliseum Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 408-6732.

Mrs Tara Starr Phelps is licensed to practice in Indiana (license number 22004392A) 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 1043563505.

Contact Information

	Mrs Tara Starr Phelps, MA,CCC-SLP
	3110 E Coliseum Blvd, Fort Wayne, IN 46805-1554
	(260) 408-6732
	(317) 449-5783

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tara Starr Phelps
Gender	Female
Speciality	Speech-language Pathologist
Location	3110 E Coliseum Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043563505
Provider Enumeration Date: 10/22/2012
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7012324528
Enrollment ID: I20210330001398

Medical Identifiers

Medical identifiers for Mrs Tara Starr Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043563505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	22004392A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tara Starr Phelps allows following entities to bill medicare on her behalf.

Provider Name	Creative Health Care Management Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139

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. Mrs Tara Starr Phelps 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
Mrs Tara Starr Phelps, MA,CCC-SLP 422 Union Station Dr, Fort Wayne, IN 46814-8965 Ph: (260) 450-7630	Mrs Tara Starr Phelps, MA,CCC-SLP 3110 E Coliseum Blvd, Fort Wayne, IN 46805-1554 Ph: (260) 408-6732

Reviews and Comments

Speech-Language Pathologist in Fort Wayne, IN

Michelle A Ludlow, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845 Phone: 260-338-1241 Fax: 260-338-1231
Josie Lyn Johnson, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5250 Heritage Pkwy, Fort Wayne, IN 46835 Phone: 260-209-6279
Linda Sue Sickman, PH.D., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1717 Maplecrest Rd, Fort Wayne, IN 46815 Phone: 260-493-0012
Jennifer Lynn Garrett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6329 Mapledowns Dr, Fort Wayne, IN 46835 Phone: 260-433-7903
Jennifer Wilson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845 Phone: 260-338-1241 Fax: 260-338-1231
Mrs. Toni Walker Blackwood, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1923 Brandywine Trl, Fort Wayne, IN 46845 Phone: 260-637-3117
Mrs. Kimberly A Griffith, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6205 Constitution Dr, Fort Wayne, IN 46804 Phone: 260-438-3586 Fax: 877-992-0273

Mrs Tara Starr Phelps, MA,CCC-SLP - Medicare Speech-Language Pathologist in Fort Wayne, IN