Mrs Tarita Dooley, is a
In Home Supportive Care based in Grand Rapids, Michigan. Mrs Tarita Dooley is licensed to practice in * (Not Available) (license number ) and her current practice location is
905 Ballard St Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 633-5354.
NPI number for Mrs Tarita Dooley is 1629670161 and her current mailing address is 905 Ballard St Se, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629670161.
Provider's Profile
| Full Name | Mrs Tarita Dooley |
|---|
| Gender | Female |
|---|
| Speciality | In Home Supportive Care |
|---|
| Location | 905 Ballard St Se, Grand Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629670161
- Provider Enumeration Date: 11/10/2020
- Last Update Date: 11/10/2020
Medical Identifiers
Medical identifiers for Mrs Tarita Dooley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629670161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 4703100135 (Michigan) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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 Tarita Dooley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Tarita Dooley,
905 Ballard St Se,
Grand Rapids, MI 49507-2038
Ph: (616) 633-5354 | Mrs Tarita Dooley,
905 Ballard St Se,
Grand Rapids, MI 49507-2038
Ph: (616) 633-5354 |
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