| Tara Rose Flanagan, MPA-C | |
|
127 Hawkins Dr, Montgomery, NY 12549-2626 | |
| (845) 457-4035 | |
| Not Available |
| Full Name | Tara Rose Flanagan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 127 Hawkins Dr, Montgomery, New York |
| 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 |
|---|---|---|---|
| 1275925125 | NPI | - | NPPES |
| 018471 | Other | NY | LICENSE |
| 1275925125 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 018471 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Americare Certified Special Services, Inc Chha | Brooklyn, NY | Home health agency |
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Group Of The Hudson Valley Pc | 3072575109 | 134 |
| Entity Name | Crystal Run Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104921139 PECOS PAC ID: 5395781249 Enrollment ID: O20050630001104 |
| Entity Name | Uni Health Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740463546 PECOS PAC ID: 3577582071 Enrollment ID: O20051114001111 |
| Entity Name | Premier Medical Group of the Hudson Valley PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255437166 PECOS PAC ID: 3072575109 Enrollment ID: O20070301000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Rose Flanagan, MPA-C 127 Hawkins Dr, Montgomery, NY 12549-2626 Ph: (845) 457-4035 | Tara Rose Flanagan, MPA-C 127 Hawkins Dr, Montgomery, NY 12549-2626 Ph: (845) 457-4035 |