| Mrs Moya Tara Talley, NP | |
|
25140 Austin Dr, New Boston, MI 48164-8907 | |
| (313) 461-5780 | |
| Not Available |
| Full Name | Mrs Moya Tara Talley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 25140 Austin Dr, New Boston, Michigan |
| 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 |
|---|---|---|---|
| 1194172981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704327517 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Villagehealth Dm Llc | 2769812445 | 132 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Entity Name | Myna |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396351037 PECOS PAC ID: 6406257310 Enrollment ID: O20210630000232 |
| Entity Name | Villagehealth Dm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20230328000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Moya Tara Talley, NP 25140 Austin Dr, New Boston, MI 48164-8907 Ph: (313) 461-5780 | Mrs Moya Tara Talley, NP 25140 Austin Dr, New Boston, MI 48164-8907 Ph: (313) 461-5780 |
Samantha Evelyn Demarce, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17901 Huron River Dr, New Boston, MI 48164 Phone: 734-315-7070 | |
Julia Kreyger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24605 Otter Rd, New Boston, MI 48164 Phone: 734-620-9134 | |
Adam Liparoto, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27158 John Dr, New Boston, MI 48164 Phone: 734-308-4493 |