MRS. LARA MITCHELL TATE P.A.-C
NPI 1649412560
Physician Assistant - Medical in Indianapolis, IN

Active since March 25, 2009PECOS EnrolledAccepts Medicare Assignment
8402 HARCOURT RD STE 120, INDIANAPOLIS, IN 46260(317) 338-4303 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lara Mitchell Tate P.a.-c NPPES

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

MRS. LARA MITCHELL TATE P.A.-C (NPI 1649412560) is an individual medical provider in Indianapolis, Indiana, licensed in Indiana (10001051) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Carmel.

NPPES Registry Identity

NPI1649412560
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LARA MITCHELL TATECredential: P.A.-C
Location Address8402 HARCOURT RD STE 120Indianapolis, IN 46260-2006
Mailing Address8402 Harcourt Rd Ste 120Indianapolis, IN 46260-2006
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2000
Enumeration DateMarch 25, 2009
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
NPI 1649412560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IN · 10001051
8402 HARCOURT RD STE 120, Indianapolis, IN 46260

Secondary Practice Location 1

Location 111700 N Meridian StCarmel, IN 46032-4656 · Phone (317) 688-3140 · Fax (317) 688-2664

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Lara Tate is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lara Tate is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4486770500

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230821001290

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lara Tate is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TAMPA GENERAL HOSPITAL1 TAMPA GENERAL CIR
TAMPA, FL 33606
(813) 844-7000Acute Care Hospitals

Reviews for MRS. LARA MITCHELL TATE P.A.-C

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacy
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260
Nurse Practitioner (Family)
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260
Plastic Surgery
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260
Nurse Practitioner (Family)
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260
Preventive Medicine (Occupational Medicine)
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260
Internal Medicine
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260
Nurse Practitioner (Family)
8402 HARCOURT RD STE 120
INDIANAPOLIS, IN 46260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649412560, enumerated as an "individual" on March 25, 2009.

The provider is located at 8402 HARCOURT RD STE 120 INDIANAPOLIS, IN 46260 and the phone number is (317) 338-4303.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.

Lara Tate is affiliated with: TAMPA GENERAL HOSPITAL.