Tessa Mirann Gingerich, PA is a medicare enrolled "Physician Assistant - Medical" in Goodman, Missouri. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sgoh Acquisition Inc and her current practice location is
912b State Highway 59, Goodman, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 364-8300.
Tessa Mirann Gingerich is licensed to practice in Missouri (license number 2017002400) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215476122.
Provider's Profile
| Full Name | Tessa Mirann Gingerich |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 912b State Highway 59, Goodman, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tessa Mirann Gingerich graduated from nursing school in 2016
NPI Data:
- NPI Number: 1215476122
- Provider Enumeration Date: 02/13/2017
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820371891
- Enrollment ID: I20170217000450
Medical Identifiers
Medical identifiers for Tessa Mirann Gingerich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215476122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 2017002400 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sgoh Acquisition Inc | 5092616276 | 74 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tessa Mirann Gingerich is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Tessa Mirann Gingerich, PA
912b State Highway 59,
Goodman, MO 64843-8252
Ph: (417) 364-8300 | Tessa Mirann Gingerich, PA
912b State Highway 59,
Goodman, MO 64843-8252
Ph: (417) 364-8300 |
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