| Tara Mckay Powers, | |
|
1022 E Wesley Dr, O Fallon, IL 62269-6136 | |
| (618) 607-5081 | |
| Not Available |
| Full Name | Tara Mckay Powers |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 11 Years |
| Location | 1022 E Wesley Dr, O Fallon, Illinois |
| 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 |
|---|---|---|---|
| 1124476957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2016007624 (Missouri) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146012948 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Powerback Rehabilitation Llc | 2365359932 | 93 |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982018362 PECOS PAC ID: 2365359932 Enrollment ID: O20141024000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Mckay Powers, 967 Blackjack Rd, Troy, IL 62294-2723 Ph: (618) 670-2352 | Tara Mckay Powers, 1022 E Wesley Dr, O Fallon, IL 62269-6136 Ph: (618) 607-5081 |
Mrs. Lauren Michelle Heimbuecher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1806 Orr Ln, O Fallon, IL 62269 Phone: 618-789-4191 | |
Heidi E Wright, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 634 N Main St Ste 3, O Fallon, IL 62269 Phone: 618-632-4222 | |
Amber Chappell., Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 634 N Main St, Suite 3, O Fallon, IL 62269 Phone: 618-632-4222 | |
Mrs. Jami Bossart, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 E Washington St, O Fallon, IL 62269 Phone: 618-632-3666 | |
Amy Jean Porter, MS, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Cherry St, O Fallon, IL 62269 Phone: 618-632-3621 | |
Rosalie Maul, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W 3rd St, O Fallon, IL 62269 Phone: 616-632-6327 | |
Taylor Marie Wiggins, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 723 Insight Ave Ste 300, O Fallon, IL 62269 Phone: 618-607-0086 Fax: 618-607-0042 |