Mrs Tara Tricia Eldridge, LISW is a
Social Worker - Clinical based in Pecos, New Mexico. Mrs Tara Tricia Eldridge is licensed to practice in New Mexico (license number I-06429) and her current practice location is
North Highway 63, Pecos, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 757-4601.
NPI number for Mrs Tara Tricia Eldridge is 1700091311 and her current mailing address is 6645 Vooscane Ave, Cochiti Lake, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700091311.
Healthcare Provider's Profile
Full Name | Mrs Tara Tricia Eldridge |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | North Highway 63, Pecos, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700091311
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Tara Tricia Eldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700091311 | NPI | - | NPPES |
35074728 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I-06429 (New Mexico) | 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 Tara Tricia Eldridge 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 Tara Tricia Eldridge, LISW 6645 Vooscane Ave, Cochiti Lake, NM 87083-6003 Ph: (505) 474-3095 | Mrs Tara Tricia Eldridge, LISW North Highway 63, Pecos, NM 87552 Ph: (505) 757-4601 |
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