| Ms Carolyn Jean Tankersley, NP | |
|
18849 Kings Hwy, Montross, VA 22520-2965 | |
| (804) 493-9999 | |
| Not Available |
| Full Name | Ms Carolyn Jean Tankersley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 18849 Kings Hwy, Montross, Virginia |
| 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 | AP119530 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 596794 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Tappahannock Home Health | Tappahannock, VA | Home health agency |
| Riverside Tappahannock Hospital | Tappahannock, VA | Hospital |
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Rappahannock General Hospital | Kilmarnock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Richmond Primary Care Llc | 3476986613 | 94 |
| 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 18849 Kings Hwy, Montross, VA 22520-2965 Ph: (804) 493-9999 |
Heidi J Epp-kapataidakis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18849 Kings Hwy, Montross, VA 22520 Phone: 804-493-9999 | |
Colleen Collins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18849 Kings Hwy, Montross, VA 22520 Phone: 804-493-9999 Fax: 804-493-7140 | |
Mary Louise Tate, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 434 Pierce Ln, Montross, VA 22520 Phone: 804-366-0913 | |
Penny Page Snyder-morris, MSN,FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18849 Kings Highway, Montross, VA 22520 Phone: 804-493-1124 Fax: 804-493-9352 |