MEDICARE: TAMARA S CHANCE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO-03013	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	546840012	OTHER	IA	MEDICARE PTAN
4	546830011	OTHER	IA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31622	OTHER	IA	BCBS PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427051135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA S CHANCE D.O.

Provider Business Mailing Address
First Line	:	1801 HICKMAN RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-1597
Country	:	US
Telephone Number	:	515-433-8498
Fax Number	:	515-433-8965

Provider Business Practice Location Address
First Line	:	1801 HICKMAN RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-1597
Country	:	US
Telephone Number	:	515-433-8498
Fax Number	:	515-433-8965

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/05/2026

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Directions to “ TAMARA S CHANCE D.O.” Practice Location

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