Tamara Nicole Vandiver, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brookeland, Texas. Her current practice location is
2427 Hwy 255 West, Brookeland, Texas. You can reach out to her office (for appointments etc.) via phone at
(409) 698-9600.
Tamara Nicole Vandiver is licensed to practice in Texas (license number AP133604) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871023028.
Provider's Profile
Full Name | Tamara Nicole Vandiver |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2427 Hwy 255 West, Brookeland, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871023028
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 06/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 1850458688
- Enrollment ID: I20200710001559
Medical Identifiers
Medical identifiers for Tamara Nicole Vandiver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871023028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP133604 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tamara Nicole Vandiver is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tamara Nicole Vandiver, FNP 10422 Dogwood Dr, Beaumont, TX 77705-8726 Ph: (409) 673-8899 | Tamara Nicole Vandiver, FNP 2427 Hwy 255 West, Brookeland, TX 75951 Ph: (409) 698-9600 |
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