| Tabatha Truelove, APRN | |
|
1200 W Cherokee St, Wagoner, OK 74467-4624 | |
| (210) 685-2532 | |
| Not Available |
| Full Name | Tabatha Truelove |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1200 W Cherokee St, Wagoner, Oklahoma |
| 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 |
|---|---|---|---|
| 1164074472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 127850 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revitalize Psychiatric Services Inc | 9830552546 | 4 |
| Kind Mind Mental Health Professional Corporation | 6002254836 | 3 |
| Entity Name | Revitalize Psychiatric Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174212047 PECOS PAC ID: 9830552546 Enrollment ID: O20230829001547 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabatha Truelove, APRN 655 E Okmulgee St, Muskogee, OK 74403-5529 Ph: (918) 913-7575 | Tabatha Truelove, APRN 1200 W Cherokee St, Wagoner, OK 74467-4624 Ph: (210) 685-2532 |
Virginia D Lindsey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 N Pierce Ave, Wagoner, OK 74467 Phone: 918-485-3022 Fax: 918-425-2799 | |
Ernest Kaara Maina, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 918-509-4440 Fax: 918-509-4467 | |
Mackenzie Noelle Ford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 918-509-4440 Fax: 918-509-4677 | |
Hazel Louise Reel, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1317 S Dewey Ave, Wagoner, OK 74467 Phone: 918-485-9696 Fax: 918-485-1701 | |
Taylor Renee Russell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 W Cherokee St Ste E, Wagoner, OK 74467 Phone: 918-485-1877 | |
Juliette Kross, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1912 Mulberry St, Wagoner, OK 74467 Phone: 539-215-4303 |