Tamara K Canterbury, APRN | |
2537 Eisenhower Rd, Ottawa, KS 66067-9482 | |
(785) 242-3780 | |
(785) 242-6397 |
Full Name | Tamara K Canterbury |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 32 Years |
Location | 2537 Eisenhower Rd, Ottawa, Kansas |
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 |
---|---|---|---|
1255483772 | NPI | - | NPPES |
200439780A | Medicaid | KS | |
200439780E | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | APRN 53-74343-091 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Ottawa | Ottawa, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elizabeth Layton Center Inc | 1557255940 | 18 |
Entity Name | Elizabeth Layton Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649296757 PECOS PAC ID: 1557255940 Enrollment ID: O20040209000253 |
Mailing Address | Practice Location Address |
---|---|
Tamara K Canterbury, APRN Po Box 677, Ottawa, KS 66067-0677 Ph: (785) 242-3780 | Tamara K Canterbury, APRN 2537 Eisenhower Rd, Ottawa, KS 66067-9482 Ph: (785) 242-3780 |
Ms. Gretchen L Trendel, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Sospeter Otieno, APRN Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Diane Zadra Drake, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 |