Mrs Tia Rae Tague, LMP is a
Specialist based in Spokane Valley, Washington. Mrs Tia Rae Tague is licensed to practice in Washington (license number MA00018360) and her current practice location is
12422 E Mansfield Ave Apt 90, Spokane Valley, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 990-6104.
NPI number for Mrs Tia Rae Tague is 1891823100 and her current mailing address is 816 W Francis Ave Unit 516, Spokane, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891823100.
Healthcare Provider's Profile
Full Name | Mrs Tia Rae Tague |
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Gender | Female |
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Speciality | Specialist |
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Location | 12422 E Mansfield Ave Apt 90, Spokane Valley, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891823100
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 02/24/2023
Medical Identifiers
Medical identifiers for Mrs Tia Rae Tague such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891823100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
174400000X | Specialist | MA00018360 (Washington) | 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. Mrs Tia Rae Tague 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 |
Mrs Tia Rae Tague, LMP 816 W Francis Ave Unit 516, Spokane, WA 99205-6512 Ph: (509) 990-6104 | Mrs Tia Rae Tague, LMP 12422 E Mansfield Ave Apt 90, Spokane Valley, WA 99216-1167 Ph: (509) 990-6104 |
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