Dr Tara S Mallett, DO is a
Pediatrics physician based in Lucedale, Mississippi. Dr Tara S Mallett is licensed to practice in Mississippi (license number 13329) and her current practice location is 92 W. Ratliff Street, Lucedale, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 947-8181.
NPI number for Dr Tara S Mallett is 1467565267 and her current mailing address is Po Box 1007, Lucedale, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467565267.
Physician's Profile
| Full Name | Dr Tara S Mallett |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 92 W. Ratliff Street, Lucedale, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467565267
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 01/06/2011
Medical Identifiers
Medical identifiers for Dr Tara S Mallett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467565267 | NPI | - | NPPES |
| 0112990 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 13329 (Mississippi) | 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. Dr Tara S Mallett 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 |
|---|
Dr Tara S Mallett, DO
Po Box 1007,
Lucedale, MS 39452-1007
Ph: (601) 947-8181 | Dr Tara S Mallett, DO
92 W. Ratliff Street,
Lucedale, MS 39452-6537
Ph: (601) 947-8181 |
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