| Tara N Loveland, NP-C | |
|
155 Village Dr, Sparta, MO 65753-8104 | |
| (417) 634-4203 | |
| (417) 634-4505 |
| Full Name | Tara N Loveland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 155 Village Dr, Sparta, Missouri |
| 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 |
|---|---|---|---|
| 1003389941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2019000559 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lester E Cox Medical Centers | 8628092897 | 242 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara N Loveland, NP-C 155 Village Dr, Sparta, MO 65753-8104 Ph: (417) 634-4203 | Tara N Loveland, NP-C 155 Village Dr, Sparta, MO 65753-8104 Ph: (417) 634-4203 |
Katrina Lea Selsor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Village Dr, Sparta, MO 65753 Phone: 417-634-4203 Fax: 417-634-4505 | |
Taylor Lauren Heath, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Village Dr, Sparta, MO 65753 Phone: 417-634-4203 | |
Bryan L. Logan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Village Drive, Sparta, MO 65673 Phone: 417-634-4203 Fax: 417-634-4505 |