| Ms Tara Lyrae Swan, APN | |
|
1502 N Jefferson St, Carrollton, MO 64633-1948 | |
| (660) 542-9998 | |
| (660) 542-9880 |
| Full Name | Ms Tara Lyrae Swan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 1502 N Jefferson St, Carrollton, Missouri |
| 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 |
|---|---|---|---|
| 1982773586 | NPI | - | NPPES |
| 424585909 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2000162265 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carroll County Memorial Hospital | Carrollton, MO | Hospital |
| Fitzgibbon Memorial Hospital | Marshall, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carroll County Memorial Hospital | 2860485638 | 65 |
| Jefferson Medical Group | 6800894379 | 10 |
| Entity Name | Carroll County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
| Entity Name | Jefferson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215030713 PECOS PAC ID: 6800894379 Enrollment ID: O20061116000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tara Lyrae Swan, APN 1502 N Jefferson St, Attn: Jean Steele, Carrollton, MO 64633-1948 Ph: (660) 542-1695 | Ms Tara Lyrae Swan, APN 1502 N Jefferson St, Carrollton, MO 64633-1948 Ph: (660) 542-9998 |
Courtney N Pitt, RN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 North Jefferson, Carrollton, MO 64633 Phone: 660-542-3900 Fax: 660-542-3902 | |
Amber Renee Hendrix, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 N Jefferson St, Carrollton, MO 64633 Phone: 816-249-1521 | |
Debra Lorene Stedem, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Harvest Hills Dr, Carrollton, MO 64633 Phone: 877-344-3572 Fax: 866-228-4492 | |
Jonna Hickcox Rechterman, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1695 Fax: 660-542-0363 | |
Heidi L Leimkuehler, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1695 Fax: 660-542-0363 | |
Tanya Waddle Land, APRN - NP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1695 |