| Tara Trent, PA-C | |
|
701 N 1st, Springfield, IL 62701 | |
| (217) 778-3000 | |
| Not Available |
| Full Name | Tara Trent |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 701 N 1st, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295174779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.004940 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 10001542A (Indiana) | Primary |
| Entity Name | Hendricks County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497536163 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
| Entity Name | Inphynet Primary Care Physicians Midwest, S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528090610 PECOS PAC ID: 6507808946 Enrollment ID: O20050525001352 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Trent, PA-C 50 View Cir, Oreana, IL 62554-9775 Ph: (317) 525-4496 | Tara Trent, PA-C 701 N 1st, Springfield, IL 62701 Ph: (217) 778-3000 |
Jerry Priddy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 E Mason St Ste 5, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-2552 |
Sydney Lynch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 Greenbriar Dr, Springfield, IL 62704 Phone: 217-528-7541 |
Julie C Hart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Carol M. Harper, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Mr. Eric D Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2151 W White Oaks Dr, Springfield, IL 62704 Phone: 217-717-4404 |
Zachary Sims, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 Fax: 217-757-8161 |
Brandon N. Landsverk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 |