Karl Udalve Tabora, is a medicare enrolled "Nurse Practitioner - Family" in Needles, California. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Tri-state Medical Specialists Llc and his current practice location is
1401 Bailey Ave, Needles, California. You can reach out to his office (for appointments etc.) via phone at
(916) 831-0782.
Karl Udalve Tabora is licensed to practice in California (license number 95034737) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225826720.
Provider's Profile
| Full Name | Karl Udalve Tabora |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 1401 Bailey Ave, Needles, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Karl Udalve Tabora graduated from nursing school in 2025
NPI Data:
- NPI Number: 1225826720
- Provider Enumeration Date: 04/25/2025
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931609880
- Enrollment ID: I20250825001811
Medical Identifiers
Medical identifiers for Karl Udalve Tabora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225826720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95034737 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tri-state Medical Specialists Llc | 1850422023 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karl Udalve Tabora allows following entities to bill medicare on his behalf.
| Entity Name | Tri-state Medical Specialists LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649598426
PECOS PAC ID: 1850422023
Enrollment ID: O20100702000024 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karl Udalve Tabora is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Karl Udalve Tabora,
1510 E Wagon Wheel Ln Ste 104,
Fort Mohave, AZ 86426-6698
Ph: (928) 889-2273 | Karl Udalve Tabora,
1401 Bailey Ave,
Needles, CA 92363-3103
Ph: (916) 831-0782 |
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