Jessica Ta, PA-C is a medicare enrolled "Physician Assistant" physician in Chandler, Arizona. Her current practice location is
1120 S Dobson Rd Ste 115, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 843-2991.
Jessica Ta is licensed to practice in Arizona (license number 10924) 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 1679207914.
Physician's Profile
Full Name | Jessica Ta |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1120 S Dobson Rd Ste 115, Chandler, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679207914
- Provider Enumeration Date: 07/12/2022
- Last Update Date: 03/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658893136
- Enrollment ID: I20250314000230
Medical Identifiers
Medical identifiers for Jessica Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679207914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 10924 (Arizona) | Secondary |
363A00000X | Physician Assistant | 10924 (Arizona) | 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. Jessica Ta 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 |
Jessica Ta, PA-C 601 N 3rd Ave Unit 1216, Phoenix, AZ 85003-1784 Ph: (954) 940-1285 | Jessica Ta, PA-C 1120 S Dobson Rd Ste 115, Chandler, AZ 85286-6166 Ph: (602) 843-2991 |
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