Tracy Claire Kutsenkow, NP | |
2511 Logan St, Logan Street Medical Group, Selma, CA 93662-3012 | |
(559) 896-2624 | |
(559) 896-3235 |
Full Name | Tracy Claire Kutsenkow |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2511 Logan St, Selma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699767020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 308978 (California) | Primary |
Entity Name | Long Term Care Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356479877 PECOS PAC ID: 9032016068 Enrollment ID: O20031217000464 |
Mailing Address | Practice Location Address |
---|---|
Tracy Claire Kutsenkow, NP 4551 N College Ave, Fresno, CA 93704-3808 Ph: (559) 435-6477 | Tracy Claire Kutsenkow, NP 2511 Logan St, Logan Street Medical Group, Selma, CA 93662-3012 Ph: (559) 896-2624 |
Arlene Shipman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3275 Mccall Ave, Selma, CA 93662 Phone: 559-896-3808 | |
Mrs. Cristal Grijalva, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-856-6310 | |
Ms. Jennifer Garcia Tarazon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2511 Logan St, Selma, CA 93662 Phone: 559-896-2624 Fax: 559-896-3235 | |
Rajandeep Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7680 E Rose Ave, Selma, CA 93662 Phone: 559-859-9333 | |
Ms. Savanna G Sanchez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Floral Ave, Selma, CA 93662 Phone: 559-318-9240 | |
Priscilla Carey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1041 Rose Ave, Selma, CA 93662 Phone: 559-856-6090 | |
Hli Lee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-577-3934 |