| Jennifer M Tandoc, | |
|
6125 N Main St, Dayton, OH 45415-3110 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Jennifer M Tandoc |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 6125 N Main St, Dayton, Ohio |
| 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 |
|---|---|---|---|
| 1508898172 | NPI | - | NPPES |
| 78003720 | Medicaid | KY | |
| P00847802 | Other | KY | RAILROAD MEDICARE |
| 500012750 | Other | KY | RAILROAD MEDICARE |
| 3088224 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3003193 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.06859 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Ecs, Inc | 2163969650 | 230 |
| Extended Care Specialists, Inc | 2466407713 | 271 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190522003072 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20241009003496 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Tandoc, 36 Pemberton Cv, Jackson, TN 38305-5514 Ph: (731) 394-1145 | Jennifer M Tandoc, 6125 N Main St, Dayton, OH 45415-3110 Ph: (731) 394-1145 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Chasity Rene Lemons, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd Ste 20, Dayton, OH 45414 Phone: 937-454-9527 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 |