Mrs Dominique Tarrant, PA-C is a medicare enrolled "Physician Assistant" in Altavista, Virginia. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Centra Medical Group Llc and her current practice location is
1280a Main St, Altavista, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 309-1165.
Mrs Dominique Tarrant is licensed to practice in Virginia (license number 0110011518) 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 1699663310.
Provider's Profile
| Full Name | Mrs Dominique Tarrant |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 1280a Main St, Altavista, Virginia |
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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:
- Mrs Dominique Tarrant graduated from nursing school in 2025
NPI Data:
- NPI Number: 1699663310
- Provider Enumeration Date: 06/24/2025
- Last Update Date: 01/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981189438
- Enrollment ID: I20260401003412
Medical Identifiers
Medical identifiers for Mrs Dominique Tarrant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699663310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0110011518 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centra Medical Group Llc | 4789606088 | 713 |
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. Mrs Dominique Tarrant 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 |
|---|
Mrs Dominique Tarrant, PA-C
1501 Lakeside Dr,
Lynchburg, VA 24501-3113
Ph: (443) 544-8876 | Mrs Dominique Tarrant, PA-C
1280a Main St,
Altavista, VA 24517-1465
Ph: (434) 309-1165 |
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