| Tara I Burgon, CRNP | |
|
3065 Windsor Rd, Red Lion, PA 17356-8533 | |
| (717) 851-1700 | |
| (717) 851-1710 |
| Full Name | Tara I Burgon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3065 Windsor Rd, Red Lion, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962787416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP0011638 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP011638 (Pennsylvania) | Primary |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara I Burgon, CRNP 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-1700 | Tara I Burgon, CRNP 3065 Windsor Rd, Red Lion, PA 17356-8533 Ph: (717) 851-1700 |
Sarah Jane Rever, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3141 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-246-5180 Fax: 717-246-2005 | |
Jamie Ann Lilie, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3141 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-246-5180 | |
Robin Lynn Geiselman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3065 Windsor Rd, Red Lion, PA 17356 Phone: 717-851-1700 | |
Travis C Willow, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3141 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-246-5180 | |
Kelly M Aguirre, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3065 Windsor Rd, Red Lion, PA 17356 Phone: 717-851-1700 Fax: 717-715-1302 |