| Tara Wright, | |
|
505 Himalayas Dr, Columbia, MO 65203-0173 | |
| (314) 691-8108 | |
| Not Available |
| Full Name | Tara Wright |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 505 Himalayas Dr, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659089712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Omni Emergency Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225871163 PECOS PAC ID: 3971037565 Enrollment ID: O20241105000879 |
| Entity Name | Missouri Emergency Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053105890 PECOS PAC ID: 0244747145 Enrollment ID: O20250725003705 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Wright, 505 Himalayas Dr, Columbia, MO 65203-0173 Ph: (314) 691-8108 | Tara Wright, 505 Himalayas Dr, Columbia, MO 65203-0173 Ph: (314) 691-8108 |
Eljesa Hyseni, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 E Broadway, Columbia, MO 65215 Phone: 573-441-5107 |
Ms. Morgan L Lewis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 |
Regan Said, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1211 E Broadway, Columbia, MO 65201 Phone: 573-441-5107 |
Isaac Dodson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 S Keene St, Columbia, MO 65201 Phone: 573-443-2402 |
Mr. Albert John Umbach Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 Fax: 573-884-1902 |
Ms. Stacie Rennie Avery, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 |
Stephen L. Ross, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 Fax: 573-814-6314 |