Pamela L Bahler, FNP | |
Hwy 264 Mmp 388, Polacca, AZ 86042 | |
(928) 737-6000 | |
(928) 737-6001 |
Full Name | Pamela L Bahler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Hwy 264 Mmp 388, Polacca, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265542336 | NPI | - | NPPES |
893067 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN111259 (Arizona) | Primary |
Entity Name | Tri-city Express Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962580118 PECOS PAC ID: 2264436377 Enrollment ID: O20060901000335 |
Mailing Address | Practice Location Address |
---|---|
Pamela L Bahler, FNP Po Box 4000, Polacca, AZ 86042 Ph: (928) 737-6000 | Pamela L Bahler, FNP Hwy 264 Mmp 388, Polacca, AZ 86042 Ph: (928) 737-6000 |
Emily Elizabeth Virginia Robbie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 189 Hwy 264, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6001 | |
Steven Ellison, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Highway 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 | |
Ms. Susan Elizabeth Bigley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Hwy 264 Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 | |
Ms. Elizabeth M Bayley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Arizona State Hwy #264, Milepost 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6001 |