| Kayla M Tackett, NP-C | |
|
8991 Ohio River Rd, Wheelersburg, OH 45694-1923 | |
| (740) 716-7086 | |
| Not Available |
| Full Name | Kayla M Tackett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 8991 Ohio River Rd, Wheelersburg, Ohio |
| 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 |
|---|---|---|---|
| 1013502798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 117983 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.0027334 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ovp Health Care Inc | 0648694596 | 7 |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Entity Name | Ovp Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518597988 PECOS PAC ID: 0648694596 Enrollment ID: O20200723003681 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla M Tackett, NP-C Po Box 327, Huntington, WV 25708-0327 Ph: (304) 429-1088 | Kayla M Tackett, NP-C 8991 Ohio River Rd, Wheelersburg, OH 45694-1923 Ph: (740) 716-7086 |
Jennifer Knapp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Deanna Crawford, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Hayport Rd, Wheelersburg, OH 45694 Phone: 740-355-8562 | |
Mr. Brennon E Giles, NURSE PRACTIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-356-4100 Fax: 740-355-4182 | |
Kristina Wilburn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Adam C Bray, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 Fax: 740-354-1806 | |
Angela Tackett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 |