Ms Glenna Rae Tolley, RN FNP-C | |
646 Fm 517 Rd W, Dickinson, TX 77539-3904 | |
(218) 218-7200 | |
(281) 218-7203 |
Full Name | Ms Glenna Rae Tolley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 646 Fm 517 Rd W, Dickinson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720254816 | NPI | - | NPPES |
197009704 | Medicaid | TX | |
835N17 | Other | TX | BCBS TX |
P00885674 | Other | TX | RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 462400 (Texas) | Primary |
Entity Name | Meditelecare Of Kansas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083116628 PECOS PAC ID: 5294097549 Enrollment ID: O20180326001530 |
Mailing Address | Practice Location Address |
---|---|
Ms Glenna Rae Tolley, RN FNP-C 646 Fm 517 Rd W, Dickinson, TX 77539-3904 Ph: (218) 218-7200 | Ms Glenna Rae Tolley, RN FNP-C 646 Fm 517 Rd W, Dickinson, TX 77539-3904 Ph: (218) 218-7200 |
Taryone Elaine Bernstine, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1728 N Meridian Greens Dr, Dickinson, TX 77539 Phone: 832-738-0279 | |
Mrs. Carol A Reyes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4909 Blue Water Ln, Dickinson, TX 77539 Phone: 832-738-1886 | |
Stephanie Tietz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3007 Gardencrest Ln, Dickinson, TX 77539 Phone: 713-898-6445 | |
Kim Marie Mlcak, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Fm 517 Rd W, Dickinson, TX 77539 Phone: 281-218-7200 Fax: 281-218-7203 | |
Wendy Wang, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 Fm 646 Rd W Ste 202, Dickinson, TX 77539 Phone: 713-574-0556 | |
Diane Jennifer Rosaly, MS, RN, FNP - C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 Fm 517 Rd W, Dickinson, TX 77539 Phone: 713-482-4535 | |
Sherry Ann Darbonne, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3150 Gulf Fwy S, Dickinson, TX 77539 Phone: 832-720-6345 |