Mrs Tara Starr Phelps, MA,CCC-SLP - Medicare Speech-Language Pathologist in Fort Wayne, IN

Mrs Tara Starr Phelps, MA,CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fort Wayne, Indiana. Her current practice location is 3110 E Coliseum Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 408-6732.

Mrs Tara Starr Phelps is licensed to practice in Indiana (license number 22004392A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043563505.

Contact Information

Mrs Tara Starr Phelps, MA,CCC-SLP
3110 E Coliseum Blvd,
Fort Wayne, IN 46805-1554
(260) 408-6732
(317) 449-5783



Healthcare Provider's Profile

Full NameMrs Tara Starr Phelps
GenderFemale
SpecialitySpeech-language Pathologist
Location3110 E Coliseum Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043563505
  • Provider Enumeration Date: 10/22/2012
  • Last Update Date: 09/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012324528
  • Enrollment ID: I20210330001398

Medical Identifiers

Medical identifiers for Mrs Tara Starr Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043563505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 22004392A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tara Starr Phelps allows following entities to bill medicare on her behalf.
Provider NameCreative Health Care Management Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902350457
PECOS PAC ID: 4385929892
Enrollment ID: O20170324001139

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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. Mrs Tara Starr Phelps 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 AddressPractice Location Address
Mrs Tara Starr Phelps, MA,CCC-SLP
422 Union Station Dr,
Fort Wayne, IN 46814-8965

Ph: (260) 450-7630
Mrs Tara Starr Phelps, MA,CCC-SLP
3110 E Coliseum Blvd,
Fort Wayne, IN 46805-1554

Ph: (260) 408-6732

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Speech-Language Pathologist in Fort Wayne, IN

Michelle A Ludlow, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845
Phone: 260-338-1241    Fax: 260-338-1231
Josie Lyn Johnson, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 5250 Heritage Pkwy, Fort Wayne, IN 46835
Phone: 260-209-6279    
Linda Sue Sickman, PH.D., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1717 Maplecrest Rd, Fort Wayne, IN 46815
Phone: 260-493-0012    
Jennifer Lynn Garrett,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6329 Mapledowns Dr, Fort Wayne, IN 46835
Phone: 260-433-7903    
Jennifer Wilson, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845
Phone: 260-338-1241    Fax: 260-338-1231
Mrs. Toni Walker Blackwood, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1923 Brandywine Trl, Fort Wayne, IN 46845
Phone: 260-637-3117    
Mrs. Kimberly A Griffith, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 6205 Constitution Dr, Fort Wayne, IN 46804
Phone: 260-438-3586    Fax: 877-992-0273

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