Tara C Puckett (NPI# 1942695929, PAC ID# 0042599540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1942695929 |
| PAC ID by PECOS | 0042599540 |
| Professional Enrollment ID | I20161123001526 |
| Full Name | Tara C Puckett |
| Organization Legal Name | PRAVINCHANDRA P. PATEL, MD P.C. |
| Address |
423 Central Ave Coldwater MS 38618-3915 |
| Phone Number | 6626227011 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325117500 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| Address | Phone | Organization |
|---|---|---|
| 423 Central Ave, Coldwater, MS 38618-3915 | 6626227011 | PRAVINCHANDRA P. PATEL, MD P.C. |
| Organization Legal Name | PRAVINCHANDRA P. PATEL, MD P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pravinchandra P Patel | Family Medicine | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
| Amit B Patel | Family Medicine | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
| Blake A Embrey | Nurse Practitioner | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
| Street Address |
423 CENTRAL AVE |
| City | COLDWATER |
| State | MS |
| Zip | 38618-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Dailey | Clinical Social Worker | 423 Central Ave, Fairfield, MT 59436-6505 | |
| Pravinchandra P Patel | Family Medicine | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
| Amit B Patel | Family Medicine | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
| Blake A Embrey | Nurse Practitioner | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Ashley May | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
| Kristopher A May | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
| Rhetta A Conn | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
| Sidney D Taylor | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
| Emily Clare Ridge | Optometry | Vrf Eye Specialty Group Plc | 412 Central Ave, Coldwater, MS 38618-3843 |
| City | COLDWATER |
| Zip Code | 38618 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLDWATER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara C Puckett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.