Marian K Tate, ARNP | |
137 Kansas Street, Walsh, CO 81090-0608 | |
(719) 324-5253 | |
(719) 324-5621 |
Full Name | Marian K Tate |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 44 Years |
Location | 137 Kansas Street, Walsh, Colorado |
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 |
---|---|---|---|
1326131889 | NPI | - | NPPES |
100282330A | Medicaid | KS | |
72000856 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 44312 (Kansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 54031 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Colorado Hospital District | Springfield, CO | Hospital |
Prowers Medical Center | Lamar, CO | Hospital |
Stanton County Hospital | Johnson, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Walsh Hospital District Healthcare Center | 4789576463 | 3 |
Entity Name | Walsh Hospital District Healthcare Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588803050 PECOS PAC ID: 4789576463 Enrollment ID: O20150602001333 |
Mailing Address | Practice Location Address |
---|---|
Marian K Tate, ARNP 137 Kansas St, Po Box 608, Walsh, CO 81090-0608 Ph: (719) 324-5253 | Marian K Tate, ARNP 137 Kansas Street, Walsh, CO 81090-0608 Ph: (719) 324-5253 |
Mary E Shy, FNP-CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 608, Walsh, CO 81090 Phone: 719-543-6633 Fax: 719-543-6655 | |
Lisa Crane, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 137 N Kansas, Walsh, CO 81090 Phone: 719-324-5253 Fax: 719-324-5621 |