Mrs Tamara Nichole Gaishin, PA-C is a medicare enrolled "Physician Assistant" in Hartford, Michigan. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lakeland Community Hospital Watervliet and her current practice location is
525 S Center St, Hartford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 463-3600.
Mrs Tamara Nichole Gaishin is licensed to practice in Michigan (license number 5601006446) 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 1508115965.
Provider's Profile
| Full Name | Mrs Tamara Nichole Gaishin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 525 S Center St, Hartford, Michigan |
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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 Tamara Nichole Gaishin graduated from nursing school in 2012
NPI Data:
- NPI Number: 1508115965
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022254085
- Enrollment ID: I20130417000306
Medical Identifiers
Medical identifiers for Mrs Tamara Nichole Gaishin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508115965 | NPI | - | NPPES |
| 1508115965 | Medicaid | MI | |
| 5601006446 | Other | MI | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | L2304186 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601006446 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lakeland Community Hospital Watervliet | 7416942750 | 41 |
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 Tamara Nichole Gaishin 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 Tamara Nichole Gaishin, PA-C
525 S Center St,
Hartford, MI 49057-1362
Ph: (269) 463-3600 | Mrs Tamara Nichole Gaishin, PA-C
525 S Center St,
Hartford, MI 49057-1362
Ph: (269) 463-3600 |
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