| Tara Jo Rudisill, PA-C | |
|
2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | |
| (812) 333-2663 | |
| Not Available |
| Full Name | Tara Jo Rudisill |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 2605 E Creeks Edge Dr, Bloomington, Indiana |
| 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 |
|---|---|---|---|
| 1982971719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110004072 (Virginia) | Primary |
| 363A00000X | Physician Assistant | 10001346A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henrico Surgical Specialists Llc | 3375680234 | 27 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Jo Rudisill, PA-C 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Tara Jo Rudisill, PA-C 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 Ph: (812) 333-2663 |
William L Latimer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 | |
Alyssa Rose Van Duzer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 S College Mall Rd, Bloomington, IN 47401 Phone: 812-323-4301 | |
Gaven Andrew Moore, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-334-5081 | |
Mr. Scott John Hopkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 Fax: 812-355-2317 | |
Miss Cheyenne Olivia Powers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 813 W 2nd St, Bloomington, IN 47403 Phone: 812-330-0303 | |
Riddhi Gandhi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515 | |
Mr. Steven Eugene Jacobs, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-1272 |