Tara Lee Dalton, PA C is a medicare enrolled "Physician Assistant - Medical" in Garland, Utah. Her current practice location is
300 W 1400 S, Garland, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 257-2469.
Tara Lee Dalton is licensed to practice in Utah (license number 51994251206) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770579146.
Provider's Profile
| Full Name | Tara Lee Dalton |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 300 W 1400 S, Garland, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770579146
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991720575
- Enrollment ID: I20051012000966
Medical Identifiers
Medical identifiers for Tara Lee Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770579146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 51994251206 (Utah) | 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. Tara Lee Dalton is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tara Lee Dalton, PA C 300 W 1400 S, Garland, UT 84312-9393 Ph: (435) 257-2469 | Tara Lee Dalton, PA C 300 W 1400 S, Garland, UT 84312-9393 Ph: (435) 257-2469 |
Reviews and Comments