| Angela Tackett, NP | |
|
8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | |
| (740) 574-9090 | |
| Not Available |
| Full Name | Angela Tackett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 8770 Ohio River Rd, Wheelersburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255375184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 00063 (Ohio) | Primary |
| Entity Name | Epmg Of Ohio Inc P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841232196 PECOS PAC ID: 1052223799 Enrollment ID: O20031103000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Tackett, NP 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: (734) 995-3764 | Angela Tackett, NP 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 Ph: (740) 574-9090 |
Kayla M Tackett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8991 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-716-7086 | |
Jennifer M Knapp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Deanna Crawford, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Hayport Rd, Wheelersburg, OH 45694 Phone: 740-355-8562 | |
Valerie Mash, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-356-4100 Fax: 740-355-4182 | |
Mr. Brennon E Giles, NURSE PRACTIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-356-4100 Fax: 740-355-4182 | |
Kristina Wilburn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Rachel Renee Butcher, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8991 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-716-7086 Fax: 000-000-0000 |