Mr Craig Tatom, APN | |
Hwy 72 N Physicians Office Building Ii, Salem, MO 65560 | |
(573) 729-6112 | |
(573) 729-4035 |
Full Name | Mr Craig Tatom |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | Hwy 72 N Physicians Office Building Ii, Salem, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225286347 | NPI | - | NPPES |
128312 | Other | MO | STATE LICENSE |
2008004369 | Other | ANCC CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 128312 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phelps County Regional Medical Center | Rolla, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pcrmc Medical Group, Inc | 1557454063 | 95 |
Entity Name | Phelps County Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
Entity Name | Family Counseling Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
Entity Name | Pcrmc Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
Mailing Address | Practice Location Address |
---|---|
Mr Craig Tatom, APN Po Box 69, Salem, MO 65560-0069 Ph: (573) 729-6112 | Mr Craig Tatom, APN Hwy 72 N Physicians Office Building Ii, Salem, MO 65560 Ph: (573) 729-6112 |
Mrs. Terry L. Bruno, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35629 Highway 72 Bldg 3, Salem, MO 65560 Phone: 573-729-8000 Fax: 573-729-8001 | |
Miriam Louise Brawley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 W Scenic Rivers Blvd, Salem, MO 65560 Phone: 573-729-5533 Fax: 573-202-2466 | |
Karla A Callahan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 S Grand St, Salem, MO 65560 Phone: 573-729-7071 Fax: 573-729-6949 | |
Michelle Lynn Bland, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35629 Highway 72, Salem, MO 65560 Phone: 573-729-8000 | |
Brenda Gott, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3103 Hh Highway, Salem, MO 65560 Phone: 573-729-2605 | |
Mrs. Kimberly Ann Kemnitzer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 W 3rd St, Salem, MO 65560 Phone: 573-453-5070 Fax: 573-340-6086 |