Kimberly Modena Tatum, NURSE PRACTITIONER | |
4002 S Loop 256 Ste A, Palestine, TX 75801-8492 | |
(903) 731-5030 | |
(903) 731-5037 |
Full Name | Kimberly Modena Tatum |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 4002 S Loop 256 Ste A, Palestine, Texas |
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 |
---|---|---|---|
1518479542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP136159 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Christus Mother Frances Hospital- Jacksonville | Jacksonville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | Mother Frances Hospital Jacksonville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
Entity Name | Senior Psychcare Of Dallas I Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942596903 PECOS PAC ID: 2466625371 Enrollment ID: O20111109000103 |
Entity Name | Dcs Medical Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285082768 PECOS PAC ID: 0042507600 Enrollment ID: O20160926000390 |
Entity Name | Midsouth Transitions Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790262681 PECOS PAC ID: 8628322831 Enrollment ID: O20181106002557 |
Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
Entity Name | Mdtela Professional Limited |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083299101 PECOS PAC ID: 6709293962 Enrollment ID: O20210406000934 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Modena Tatum, NURSE PRACTITIONER 4002 S Loop 256 Ste A, Palestine, TX 75801-8492 Ph: (903) 731-5030 | Kimberly Modena Tatum, NURSE PRACTITIONER 4002 S Loop 256 Ste A, Palestine, TX 75801-8492 Ph: (903) 731-5030 |
Mrs. Melissa Marie Cobb, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 S Loop 256, Palestine, TX 75801 Phone: 903-723-0600 | |
Natalie Karen Burks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Willow Creek Pkwy, Suite C, Palestine, TX 75801 Phone: 903-723-8210 Fax: 903-723-8310 | |
Tania Shinohara, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4002 S Loop 256, Palestine, TX 75801 Phone: 903-731-5030 Fax: 903-731-5037 | |
Travis Lee Wacha, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4659 Fm 1990, Palestine, TX 75801 Phone: 903-213-2216 Fax: 903-213-9233 | |
Kimberly Winn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1021 Fax: 903-731-1265 | |
Tiffany Linn Mcclendon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1000 | |
Elizabeth George, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-724-9922 |