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Tara Ann Bideiwy

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as TARA BIDEIWY.

Based on the most recent information from CMS, provider Tara Ann Bideiwy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 32 days ago.

Profile Details

Provider ID
1194602797
Provider Type
Individual
Full Name
Bideiwy, Tara Ann
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/18/2025
Last Updated
8/18/2025

Contact Information

Practice Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-7000

Unlisted Fax

Mailing Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-7000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 357362 New York

Tara Ann Bideiwy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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