| Tara Tait, PA-C | |
|
3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | |
| (763) 767-3350 | |
| (763) 767-0912 |
| Full Name | Tara Tait |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, Minnesota |
| 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 |
|---|---|---|---|
| 1912456062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Inc | 1759293954 | 1627 |
| Nystrom And Associates Ltd | 6406752492 | 590 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Entity Name | Associated Clinic of Psychology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Tait, PA-C 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Tara Tait, PA-C 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 Ph: (763) 767-3350 |
Gretchen Olsen Zachel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1879 128th Ave Nw, Coon Rapids, MN 55448 Phone: 763-767-9113 |
Mrs. Ashlee Ann Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-427-9980 |
Alexis Jo Cooper, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 |
Kathryn Ann Alvarez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 634-279-9807 Fax: 763-427-0904 |
Mr. Aaron Ssemujju, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 |
Chelsie Nicole Horner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 300, Coon Rapids, MN 55433 Phone: 763-236-9000 |
Rhiannon Sophie Weston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |