| Ms Carolyn Jean Tankersley, NP | |
|
5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | |
| (214) 648-3916 | |
| (214) 648-3916 |
| Full Name | Ms Carolyn Jean Tankersley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 5323 Harry Hines Boulevard, Dallas, Texas |
| 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 |
|---|---|---|---|
| 1760784631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 596794 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP119530 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Tappahannock Hospital | Tappahannock, VA | Hospital |
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Rappahannock General Hospital | Kilmarnock, VA | Hospital |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Richmond Primary Care Llc | 3476986613 | 91 |
| Entity Name | Bon Secours Medical Group Richmond Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861050635 PECOS PAC ID: 3476986613 Enrollment ID: O20191203000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carolyn Jean Tankersley, NP P.o. Box 845347, Dallas, TX 75284-5347 Ph: (214) 648-3916 | Ms Carolyn Jean Tankersley, NP 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 Ph: (214) 648-3916 |
Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020 | |
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855 | |
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173 | |
Christina Hagood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017 | |
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135 | |
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112 | |
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000 |