Tara Sue Vangundy, CFNP | |
7073 Clyo Rd, Centerville, OH 45459-4816 | |
(937) 435-5857 | |
(937) 912-4960 |
Full Name | Tara Sue Vangundy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 7073 Clyo Rd, Centerville, Ohio |
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 |
---|---|---|---|
1295080851 | NPI | - | NPPES |
0068897 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA13396 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Geriatric Care, Llc | 3476642901 | 9 |
Entity Name | Valley Medical Primary Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528127610 PECOS PAC ID: 0840284345 Enrollment ID: O20040408000888 |
Entity Name | Comprehensive Geriatric Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598945230 PECOS PAC ID: 3476642901 Enrollment ID: O20071205000420 |
Entity Name | Kav Health Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891332946 PECOS PAC ID: 2466806864 Enrollment ID: O20231003002051 |
Mailing Address | Practice Location Address |
---|---|
Tara Sue Vangundy, CFNP 7073 Clyo Rd, Centerville, OH 45459-4816 Ph: (937) 435-5857 | Tara Sue Vangundy, CFNP 7073 Clyo Rd, Centerville, OH 45459-4816 Ph: (937) 435-5857 |
Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070 | |
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622 | |
Heather Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400 | |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 | |
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552 | |
Alysha Weeter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075 | |
Marie Middleton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459 Phone: 937-439-7411 Fax: 937-433-8030 |