Tanisha Mai Chamberlain, is a
Nurse Practitioner - Family based in Montgomery, Indiana. Tanisha Mai Chamberlain is licensed to practice in Indiana (license number 71017039A) and her current practice location is
8418 E 300 N, Montgomery, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 486-6938.
NPI number for Tanisha Mai Chamberlain is 1982588059 and her current mailing address is 8418 E 300 N, Montgomery, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982588059.
Provider's Profile
| Full Name | Tanisha Mai Chamberlain |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 8418 E 300 N, Montgomery, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982588059
- Provider Enumeration Date: 08/02/2025
- Last Update Date: 08/28/2025
Medical Identifiers
Medical identifiers for Tanisha Mai Chamberlain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982588059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 71017039A (Indiana) | 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. Tanisha Mai Chamberlain 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 |
Tanisha Mai Chamberlain, 8418 E 300 N, Montgomery, IN 47558-5210 Ph: (812) 486-6938 | Tanisha Mai Chamberlain, 8418 E 300 N, Montgomery, IN 47558-5210 Ph: (812) 486-6938 |
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