| Ellen Tillett, | |
|
22044 Cedar Rd, Sonora, CA 95370 | |
| (209) 298-5400 | |
| Not Available |
| Full Name | Ellen Tillett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 22044 Cedar Rd, Sonora, California |
| 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 |
|---|---|---|---|
| 1326236621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95034690 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | ARNP 3176512 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Home Care Services | Sonora, CA | Home health agency |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tuolumne Me-wuk Indian Health Center Inc | 6507816386 | 24 |
| Entity Name | Tuolumne Me-wuk Indian Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619952397 PECOS PAC ID: 6507816386 Enrollment ID: O20050128000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Tillett, 22044 Cedar Rd, Sonora, CA 95370 Ph: (209) 298-5400 | Ellen Tillett, 22044 Cedar Rd, Sonora, CA 95370 Ph: (209) 298-5400 |
Christy Anne Wright, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 690 Guzzi Ln C, Sonora, CA 95370 Phone: 209-533-0333 Fax: 209-533-0782 |
Ms. Marsha Ann Malgesini, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7400 Fax: 209-533-7406 |
Mrs. Krysta Lee Wolken, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Greenley Rd Ste 922, Sonora, CA 95370 Phone: 209-536-3750 |
Deborah Lynn Goreham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370 Phone: 209-533-0333 |
Vibeke B Green, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Greenley Rd Ste 911, Sonora, CA 95370 Phone: 209-536-3240 |
Karin Erica Rohn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7433 Fax: 209-533-7439 |
Mr. Estevan Acuna, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13975 Mono Way, Suite G, Sonora, CA 95370 Phone: 209-533-9600 Fax: 209-533-9608 |