| Tamara Royalty, FNP-C | |
|
4152 W State Road 56, Hanover, IN 47243-9070 | |
| (812) 762-4510 | |
| Not Available |
| Full Name | Tamara Royalty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 4152 W State Road 56, Hanover, Indiana |
| 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 |
|---|---|---|---|
| 1992371975 | NPI | - | NPPES |
| 3016147 | Other | KY | KENTUCKY BOARD OF NURSING |
| 7100763650 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71017339A (Indiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3016147 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ccmh Corporation | 2365540465 | 10 |
| Entity Name | Ccmh Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225159601 PECOS PAC ID: 2365540465 Enrollment ID: O20080108000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Royalty, FNP-C Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Tamara Royalty, FNP-C 4152 W State Road 56, Hanover, IN 47243-9070 Ph: (812) 762-4510 |
Hayley Bussey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4152 W State Road 56, Hanover, IN 47243 Phone: 812-762-4510 | |
Christina Ownbey, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 Ball Dr Unit 302, Hanover, IN 47243 Phone: 812-866-7082 Fax: 812-866-7080 | |
Sarah Margaret Sexson, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4152 West State Route 56, Hanover, IN 47243 Phone: 812-762-4510 | |
Dawn Kathleen Sirek, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4152 W State Road 56, Hanover, IN 47243 Phone: 812-762-4510 | |
Laura Sparks, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4152 West State Road 56, Hanover, IN 47243 Phone: 812-762-4510 |