| Kellie Deanne Tatro, PA-C, RRA, RT(R) | |
|
4800 S Croatan Hwy, Nags Head, NC 27959-9704 | |
| (252) 449-5600 | |
| Not Available |
| Full Name | Kellie Deanne Tatro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 4800 S Croatan Hwy, Nags Head, North Carolina |
| 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 |
|---|---|---|---|
| 1366905705 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Physicians Of Mecklenburg County Pllc | 3870635584 | 8 |
| Outer Banks Professional Services, Llc | 3173652096 | 163 |
| Entity Name | Emergency Medicine Physicians of Mecklenburg County PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912232182 PECOS PAC ID: 3870635584 Enrollment ID: O20100119000374 |
| Entity Name | Outer Banks Professional Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Entity Name | Kinston Physicians Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689923757 PECOS PAC ID: 6204087919 Enrollment ID: O20121106000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Deanne Tatro, PA-C, RRA, RT(R) 4800 S Croatan Hwy, Nags Head, NC 27959-9704 Ph: (252) 449-5600 | Kellie Deanne Tatro, PA-C, RRA, RT(R) 4800 S Croatan Hwy, Nags Head, NC 27959-9704 Ph: (252) 449-5600 |
Natalie B Woodard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4917 S Croatan Hwy Ste 1a, Nags Head, NC 27959 Phone: 252-449-6160 |
Thomas Jamel Ferguson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4917 S Croatan Hwy Ste 1a, Nags Head, NC 27959 Phone: 252-449-6160 Fax: 252-449-6161 |
Anna B Oprea, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4810 S Croatan Hwy, Suite 250, Nags Head, NC 27959 Phone: 252-261-4885 Fax: 252-441-2641 |
Sarah Elizabeth Dunn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4810 S Croatan Hwy Ste 100, Nags Head, NC 27959 Phone: 252-261-4885 |
Genevieve Ramirez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4917 S Croatan Hwy Ste 1a, Nags Head, NC 27959 Phone: 252-449-6160 |
Todd D Ensign, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4923 S Croatan Hwy, Nags Head, NC 27959 Phone: 252-261-8040 Fax: 252-441-7041 |
Philip A Keller, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2808 S Croatan Hwy, Suite 565, Nags Head, NC 27959 Phone: 252-441-2324 Fax: 252-441-1994 |