| Jennifer M Tandoc, | |
|
6125 N Main St, Dayton, OH 45415-3110 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Jennifer M Tandoc |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 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 |
|---|---|---|
| At Your Door Visiting Healthcare Services Llc | 0042522344 | 37 |
| Entity Name | Seniors First Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154324275 PECOS PAC ID: 0244251866 Enrollment ID: O20051212000304 |
| Entity Name | Crescent Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497854152 PECOS PAC ID: 3476563636 Enrollment ID: O20060502000711 |
| Entity Name | Ads Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366706749 PECOS PAC ID: 3476709601 Enrollment ID: O20120803000383 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Entity Name | Geri-first Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609628338 PECOS PAC ID: 5991241093 Enrollment ID: O20240725001301 |
| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 4160 Little York Rd Ste 20, Dayton, OH 45414 Phone: 937-454-9527 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 | |
Courtney L Sine, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste 5254, Dayton, OH 45409 Phone: 937-208-4200 Fax: 937-208-2678 |