| Martha Anne Tack, FNP | |
|
1804 Trott Ave Sw, Willmar, MN 56201-2743 | |
| (320) 214-7286 | |
| Not Available |
| Full Name | Martha Anne Tack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1804 Trott Ave Sw, Willmar, Minnesota |
| 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 |
|---|---|---|---|
| 1346019445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11149 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ecumen Home Care And Hospice - Litchfield | Litchfield, MN | Home health agency |
| Centracare Hospice | Willmar, MN | Hospice |
| Centracare- Rice Memorial Hospital | Willmar, MN | Hospital |
| Hutchinson Health | Hutchinson, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Twin Cities Physicians Professional Corporation | 9830499763 | 66 |
| Entity Name | Twin Cities Physicians Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992176499 PECOS PAC ID: 9830499763 Enrollment ID: O20151130000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Anne Tack, FNP 1804 Trott Ave Sw, Willmar, MN 56201-2743 Ph: (320) 214-7286 | Martha Anne Tack, FNP 1804 Trott Ave Sw, Willmar, MN 56201-2743 Ph: (320) 214-7286 |
Ms. Amber Erin Johnson, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 |
Frances Anne Antkowiak, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |
Lucy R Brink, RN CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223 |
Jolene Schlegel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602 |
Kristin Michelle Pomplun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2720 |
Jeffery Ja Enstad, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |
Michelle A Gerow-ellis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-6323 |