Individual ProviderTamara J. MurphyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Peach Street, Suite 200, Bayfront Digestive Disease, Erie, PA 16507-1423(814) 456-7733(814) 877-7100PECOS EnrollmentBased on the most recent information from CMS, provider Tamara J. Murphy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1124124318Provider TypeIndividualFull NameMurphy, Tamara J.TitleMrs.CredentialPAGenderFemaleSole ProprietorNoEnumeration Date9/15/2006Last Updated12/7/2011Contact InformationPractice LocationPractice Address100 Peach Street, Suite 200, Bayfront Digestive Disease, Erie, PA 16507-1423Phone(814) 456-7733Fax(814) 456-7213Mailing LocationMailing Address717 State Street, Suite 16ll, Regional Health Services, Inc., Erie, PA 16501-1360Phone(814) 877-7100Fax(814) 877-2939Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA052657PennsylvaniaProvider IdentifiersIDDescriptionIssuerIDP00438710DescriptionOtherIssuerRAILROAD MEDICAREID1921578DescriptionOtherIssuerBLUE SHIELD