Kim Tucker, APN | |
161 N Mill St, Tehachapi, CA 93561-1347 | |
(866) 707-6664 | |
Not Available |
Full Name | Kim Tucker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 161 N Mill St, Tehachapi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043529167 | NPI | - | NPPES |
209008383 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209008383 (Illinois) | Primary |
Entity Name | Omni Family Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700891660 PECOS PAC ID: 9234176363 Enrollment ID: O20050411000986 |
Mailing Address | Practice Location Address |
---|---|
Kim Tucker, APN 101 E Miller Rd, Sterling, IL 61081-1252 Ph: (815) 625-4790 | Kim Tucker, APN 161 N Mill St, Tehachapi, CA 93561-1347 Ph: (866) 707-6664 |
Meghan Escoto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20797 Santa Lucia St, Tehachapi, CA 93561 Phone: 661-822-9105 | |
Navpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20960 Sage Ln, Tehachapi, CA 93561 Phone: 661-823-2273 | |
Diane Kathryn Peterson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23970 Jacaranda Dr, Tehachapi, CA 93561 Phone: 661-821-3821 Fax: 661-821-1217 | |
Sonia Theresa Aguirre, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24900 Highway 202, Tehachapi, CA 93561 Phone: 661-822-4402 | |
Ms. Janice K Polletta, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105w E St, Tehachapi, CA 93561 Phone: 661-823-7070 Fax: 661-823-0235 | |
Sarah D Carroll, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20211 W Valley Blvd, Tehachapi, CA 93561 Phone: 661-822-5544 |