Tara Mallory, - Licensed Practical Nurse in Roscommon, MI

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Tara Mallory, is a Licensed Practical Nurse based in Roscommon, Michigan. Tara Mallory is licensed to practice in Michigan (license number 4703083153) and current practice location is 5705 September Ln, Roscommon, Michigan. can be reached at office (for appointments etc.) via phone at (989) 325-0576.

NPI number for Tara Mallory is 1982563433 and current mailing address is 5705 September Ln, Roscommon, Michigan. does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1982563433.

Contact Information

Tara Mallory,
5705 September Ln,
Roscommon, MI 48653-8756
(989) 325-0576
Not Available

Map and Direction




Provider's Profile

Full NameTara Mallory
Gender
SpecialityLicensed Practical Nurse
Location5705 September Ln, Roscommon, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982563433
  • Provider Enumeration Date: 01/20/2026
  • Last Update Date: 01/20/2026

Medical Identifiers

Medical identifiers for Tara Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982563433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 4703083153 (Michigan)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 Mallory 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 AddressPractice Location Address
Tara Mallory,
5705 September Ln,
Roscommon, MI 48653-8756

Ph: () -		Tara Mallory,
5705 September Ln,
Roscommon, MI 48653-8756

Ph: (989) 325-0576

Reviews and Comments


Licensed Practical Nurse Nurses in Roscommon, MI

Pamela Lynne Disney,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 217 Newman St, Roscommon, MI 48653
Phone: 989-390-6580    
Gordon Eden,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 N 5th St, Roscommon, MI 48653
Phone: 989-275-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.