| Pamela Tinoco-carreon | |
|
123 N Tyler Rd Ste 300 Wichita KS 67212-3726 | |
| (316) 869-2230 | |
| Not Available |
| Full Name | Pamela Tinoco-carreon |
|---|---|
| Speciality | Social Worker |
| Location | 123 N Tyler Rd Ste 300, Wichita, Kansas |
| Authorized Official Name and Position | Nikki M Dennis (CREDENTIALING AGENT) |
| Authorized Official Contact | 3163088273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Tinoco-carreon 123 N Tyler Rd Ste 300 Wichita KS 67212-3726 Ph: (316) 869-2230 | Pamela Tinoco-carreon 123 N Tyler Rd Ste 300 Wichita KS 67212-3726 Ph: (316) 869-2230 |
| NPI Number | 1033704382 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 5496162000 |
|---|---|
| Medicare Enrollment ID | O20210326001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033704382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pamela Beranek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821532854 PECOS PAC ID: 6305253915 Enrollment ID: I20210326001974 |
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