Tara Fenner, FNP-C | |
6265 39th St, Groves, TX 77619-4614 | |
(409) 962-4400 | |
(409) 962-4412 |
Full Name | Tara Fenner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 6265 39th St, Groves, Texas |
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 |
---|---|---|---|
1417423153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP140593 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
The Medical Center Of Southeast Texas | Port arthur, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Roussel Clement Mdpa | 4486655446 | 2 |
Entity Name | Roussel Clement Mdpa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720147762 PECOS PAC ID: 4486655446 Enrollment ID: O20070118000416 |
Mailing Address | Practice Location Address |
---|---|
Tara Fenner, FNP-C 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 | Tara Fenner, FNP-C 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 |
My Hien Nguyen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6265 39th St, Groves, TX 77619 Phone: 409-962-4400 | |
Mr. Christopher Stephen Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6230 Warren St, Groves, TX 77619 Phone: 409-963-1266 | |
Mrs. Annette Marie Lynd, AGPCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Howe St, Groves, TX 77619 Phone: 409-338-5221 | |
Tenika Michelle Antoine, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3331 Boyd Ave, Groves, TX 77619 Phone: 409-983-1161 | |
Laura Olivia Pittman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6000 39th St, Groves, TX 77619 Phone: 409-962-8509 Fax: 409-962-0763 | |
Mrs. Christine Rhea Lacomb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6000 39th St, Groves, TX 77619 Phone: 409-962-8509 Fax: 409-962-0763 |