| Tammy K Hart, MD | |
|
400 N Fullerton St, Princeton, MO 64673-1418 | |
| (660) 748-4040 | |
| (660) 748-4042 |
| Full Name | Tammy K Hart |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 400 N Fullerton St, Princeton, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265499859 | NPI | - | NPPES |
| J120000 | Other | MO | MEDICARE GROUP NUMBER |
| 593909203 | Medicaid | MO | |
| 10001195600 | Other | MO | COMMUNITY HEALTH PLAN |
| 203716626 | Medicaid | MO | |
| 240969 | Other | MO | FREEDOM NETWORK |
| 20710041 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD100333 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes Home Care | Kansas city, MO | Home health agency |
| Serve Link Home Care, Inc | Trenton, MO | Home health agency |
| Wright Memorial Hospital | Trenton, MO | Hospital |
| Harrison County Community Hospital | Bethany, MO | Hospital |
| Hedrick Medical Center | Chillicothe, MO | Hospital |
| New Liberty Hospital District | Liberty, MO | Hospital |
| Pearl's Ii Eden For Elders | Princeton, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Luke's Hospital Of Trenton | 3971495532 | 14 |
| Entity Name | Saint Luke's Hospital Of Trenton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
| Entity Name | Saint Lukes Hospital Of Chillicothe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy K Hart, MD 400 N Fullerton St, Princeton, MO 64673-1418 Ph: (660) 748-4040 | Tammy K Hart, MD 400 N Fullerton St, Princeton, MO 64673-1418 Ph: (660) 748-4040 |