Dr. Theresa A. Tacy
M.D. | Pediatric Cardiology | Female
Dr. Theresa A. Tacy, M.D. is a Palo Alto, California based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Theresa A. Tacy is
725 Welch Rd, Packard Childrens Hospital At Stanford, Palo Alto, California - 94304-1601. She can be contacted on phone at
650-723-7913.
Dr. Theresa A. Tacy is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Theresa A. Tacy is
1366478638 which was assigned by NPPES on 25 Jun, 2006 and it was last updated on 10 Mar, 2015.
Dr. Theresa A. Tacy license number is
C50143 for Pediatrics Pediatric Cardiology (2080P0202X) in California.
Dr. Theresa A. Tacy provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Theresa A. Tacy basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Theresa A. Tacy |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Theresa A. Tacy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 725 Welch Rd, Packard Childrens Hospital At Stanford
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-723-7913 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366478638 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jun, 2006 |
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| Last Updated On : | 10 Mar, 2015 |
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Medicare Participation:
Dr. Theresa A. Tacy participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3577508696 |
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| Medicare Enrollment ID : | I20050620001070 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1987 |
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| Accepts Medicare? | Yes. Dr. Theresa A. Tacy accepts medicare insurance. |
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Group Practice Association:
Dr. Theresa A. Tacy is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Theresa A. Tacy is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Lpch Medical Group Div Of Lucile | 0840298543 | 226 | 725 Welch Rd
Palo Alto, CA - 943041601
Ph: 6504987200 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theresa A. Tacy are as mentioned. Primary taxonomy code for Dr. Theresa A. Tacy, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | C50143 | CA |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | C50143 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Theresa A. Tacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00C501430 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 725 Welch Rd, Packard Childrens Hospital At Stanford
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-723-7913 |
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Business Location:
Patients can refer following map for directions to
Dr. Theresa A. Tacy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.