| Ina Vate, NP | |
|
5330 S Highway 95, Fort Mohave, AZ 86426-9225 | |
| (928) 788-7077 | |
| (469) 249-1170 |
| Full Name | Ina Vate |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 5330 S Highway 95, Fort Mohave, Arizona |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467963942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN168442 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 28976 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Health System Lawrence | Lawrenceburg, TN | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group Tennessee Pc | 4688721863 | 24 |
| Entity Name | Apogee Medical Group Tennessee PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578717682 PECOS PAC ID: 4688721863 Enrollment ID: O20090403000215 |
| Entity Name | Integrated Health Transitions, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922463470 PECOS PAC ID: 7315242302 Enrollment ID: O20160301000279 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
| Entity Name | Renuven Aco PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568209872 PECOS PAC ID: 1850820374 Enrollment ID: O20250129001866 |
| Mailing Address | Practice Location Address |
|---|---|
| Ina Vate, NP 8612 Rancho Dr, Ooltewah, TN 37363-9233 Ph: (678) 982-9343 | Ina Vate, NP 5330 S Highway 95, Fort Mohave, AZ 86426-9225 Ph: (928) 788-7077 |
Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400 |
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 |
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 |
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150 |
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000 |
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943 |
Annie Marie Rodman, MSN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426 Phone: 928-788-9378 Fax: 928-788-9381 |