Ms Tara Marie Disalle, PA-C is a medicare enrolled "Physician Assistant" physician in Henderson, Nevada. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Md Now Medical Centers Inc and her current practice location is
1691 W Horizon Ridge Pkwy, Suite 100, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 804-1212.
Ms Tara Marie Disalle is licensed to practice in Nevada (license number PA2405) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396269312.
Physician's Profile
| Full Name | Ms Tara Marie Disalle |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 1691 W Horizon Ridge Pkwy, Henderson, Nevada |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Tara Marie Disalle graduated from medical school in 2017
NPI Data:
- NPI Number: 1396269312
- Provider Enumeration Date: 08/01/2017
- Last Update Date: 04/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062786346
- Enrollment ID: I20240117001947
Medical Identifiers
Medical identifiers for Ms Tara Marie Disalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396269312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 50.005132RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.005132RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | PA2405 (Nevada) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Md Now Medical Centers Inc | 3971554825 | 315 |
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. Ms Tara Marie Disalle 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 |
|---|
Ms Tara Marie Disalle, PA-C
1691 W Horizon Ridge Pkwy, Suite 100,
Henderson, NV 89012-3520
Ph: (702) 804-1212 | Ms Tara Marie Disalle, PA-C
1691 W Horizon Ridge Pkwy, Suite 100,
Henderson, NV 89012-3520
Ph: (702) 804-1212 |
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