| Tara Nicole Andersen, PA-C | |
|
54 Hospital Dr Ste 201, Osage Beach, MO 65065-3050 | |
| (573) 302-2764 | |
| (573) 302-2767 |
| Full Name | Tara Nicole Andersen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 54 Hospital Dr Ste 201, Osage Beach, 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 |
|---|---|---|---|
| 1699418160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2022006987 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Health System | 9133026776 | 132 |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Nicole Andersen, PA-C 54 Hospital Dr Ste 201, Osage Beach, MO 65065-3050 Ph: (573) 302-2764 | Tara Nicole Andersen, PA-C 54 Hospital Dr Ste 201, Osage Beach, MO 65065-3050 Ph: (573) 302-2764 |
Jacob Andrew White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 660-888-2238 |
Ryan Willard Rogers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1029 Nichols Rd Ste 201, Osage Beach, MO 65065 Phone: 573-302-7138 |
Michelle Therese Keeton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-3999 Fax: 573-302-2751 |
Camden Schmitz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065 Phone: 573-302-3990 |
Brandi Rene Nickels, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 |
Trevor James Schuneman Sr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2800 Fax: 573-348-8350 |
Kiley Neuman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 |