Julie Tuttle Tackett, NP | |
1038 Bethania Rural Hall Rd, Rural Hall, NC 27045-9552 | |
(336) 716-9270 | |
(336) 702-9313 |
Full Name | Julie Tuttle Tackett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1038 Bethania Rural Hall Rd, Rural Hall, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689924391 | NPI | - | NPPES |
7006330 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5005790 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Forest University Health Sciences | 4486564952 | 2048 |
Entity Name | Wake Forest University Health Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Julie Tuttle Tackett, NP Provider Enrollment, 100 Kimel Forest Drive, Winston Salem, NC 27103-6074 Ph: (336) 713-0947 | Julie Tuttle Tackett, NP 1038 Bethania Rural Hall Rd, Rural Hall, NC 27045-9552 Ph: (336) 716-9270 |
Donna Lynn Kirby, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1038 Bethania Rural Hall Rd, Rural Hall, NC 27045 Phone: 336-716-9270 Fax: 336-702-9313 | |
Ms. Cathy Cook Arney, FNP-BC, COHN-S Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 648 Almondridge Dr, Rural Hall, NC 27045 Phone: 336-969-1185 Fax: 336-969-1186 | |
Darla Cruise Scott, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1038 Bethania Rural Hall Rd, Rural Hall, NC 27045 Phone: 367-169-2703 Fax: 336-702-9313 | |
Emily Mills, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1038 Bethania Rural Hall Rd, Rural Hall, NC 27045 Phone: 336-716-9270 Fax: 336-702-9313 | |
Cynthia Lynne Warden, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 290 W Wall St, Rural Hall, NC 27045 Phone: 336-969-9158 Fax: 336-969-4554 |