TARAH BRENNAN PA-C
NPI 1275009524
Physician Assistant in Moosic, PA

Q: What is Tarah Brennan's NPI number?

The NPI number for Tarah Brennan is 1275009524. It was assigned to this individual provider in the NPPES registry on October 15, 2018. The provider is also known as Tarah Zajaczkowski Pa-C.

Q: What is Tarah Brennan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tarah Brennan was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2018PECOS EnrolledAccepts Medicare Assignment

340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686(570) 558-6838 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2020, Oct 15, 2018 (2 updates tracked since 2018).

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About Tarah Brennan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARAH BRENNAN PA-C (NPI 1275009524) is an individual physician assistant in Moosic, Pennsylvania, licensed in Pennsylvania (MA060271) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275009524

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTARAH BRENNANCredential: PA-C

Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1707

Mailing Address340 Montage Mountain RdMoosic, PA 18507-1707 · (570) 346-3686 · Fax (570) 558-6838

Phone(570) 346-3686

Fax(570) 558-6838

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 15, 2018

Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2024

✔ NPI 1275009524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA060271

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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Other Names 1

Former Name (1)Tarah Zajaczkowski Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tarah Brennan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618212002

PECOS Enrollment IDI20181212002001

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

302 services68 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA LYN FIDIAM PA-C

Physician Assistant (Medical)