| Tarra Lynn Moran, DNP, APNP, FNP-C | |
|
3003 University Dr, Marinette, WI 54143-4110 | |
| (715) 735-4200 | |
| Not Available |
| Full Name | Tarra Lynn Moran |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 3003 University Dr, Marinette, Wisconsin |
| 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 |
|---|---|---|---|
| 1891320834 | NPI | - | NPPES |
| 100098853 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 9705-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 9705-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Clare Memorial Hospital | Oconto falls, WI | Hospital |
| Bay Area Medical Center | Marinette, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 187 |
| St Clare Memorial Hospital Inc | 0446211395 | 37 |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | St Clare Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
| Entity Name | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarra Lynn Moran, DNP, APNP, FNP-C Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Tarra Lynn Moran, DNP, APNP, FNP-C 3003 University Dr, Marinette, WI 54143-4110 Ph: (715) 735-4200 |