| Tara Janse, PA-C | |
|
18275 N 59th Ave Ste K162, Glendale, AZ 85308-1260 | |
| (602) 755-0800 | |
| (602) 560-2721 |
| Full Name | Tara Janse |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 18275 N 59th Ave Ste K162, Glendale, Arizona |
| 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 |
|---|---|---|---|
| 1013279348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7647 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Arizona Llc | 3173872835 | 152 |
| Entity Name | Minghsun Liu MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316454945 PECOS PAC ID: 2365703360 Enrollment ID: O20180308002119 |
| Entity Name | Summit Medical Group Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Janse, PA-C Po Box 24981, Belfast, ME 04915-2000 Ph: (844) 969-0686 | Tara Janse, PA-C 18275 N 59th Ave Ste K162, Glendale, AZ 85308-1260 Ph: (602) 755-0800 |
Tiffani Rollins, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5601 W Eugie Ave, 106, Glendale, AZ 85304 Phone: 602-978-6255 Fax: 623-478-1534 |
Jessica K Schreck, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7200 W Bell Rd, Bldg A, Glendale, AZ 85308 Phone: 623-487-4822 Fax: 623-334-9881 |
Castillanna Nicole Loya Jaffe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4441 |
Andrea Block, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19555 N 59th Ave, Glendale, AZ 85308 Phone: 623-572-3200 |
Mrs. Samadhy Ruiz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5750 W. Thunderbird Ave, Suite B- 200, Glendale, AZ 85306 Phone: 602-375-1700 Fax: 602-843-2847 |
Ms. Katherine Lijoi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16390 N 59th Ave Ste 200, Glendale, AZ 85306 Phone: 623-334-4000 Fax: 623-334-4400 |
Syed G Mohiuddin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19555 N 59th Ave, Glendale, AZ 85308 Phone: 623-572-3200 |