| Tara Rae Sandusky, APRN | |
|
1001 Towson Ave, Fort Smith, AR 72901-4921 | |
| (479) 441-5005 | |
| Not Available |
| Full Name | Tara Rae Sandusky |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1001 Towson Ave, Fort Smith, Arkansas |
| 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 |
|---|---|---|---|
| 1063069326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 121897 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Treatment Centers Of America Pllc | 2769608819 | 57 |
| Entity Name | Prime Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033454723 PECOS PAC ID: 4183878176 Enrollment ID: O20130128000344 |
| Entity Name | Pain Treatment Centers Of America Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128 |
| Entity Name | Baptist Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Rae Sandusky, APRN 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-4000 | Tara Rae Sandusky, APRN 1001 Towson Ave, Fort Smith, AR 72901-4921 Ph: (479) 441-5005 |
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340 | |
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600 | |
Mandi T Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242 | |
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850 | |
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000 | |
Dabney Herrold, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3420 S 74th St, Fort Smith, AR 72903 Phone: 479-573-3740 |