| Tamara K Canterbury, APRN | |
|
2537 Eisenhower Rd, Ottawa, KS 66067-9482 | |
| (785) 242-3780 | |
| (785) 242-6397 |
| Full Name | Tamara K Canterbury |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 34 Years |
| Location | 2537 Eisenhower Rd, Ottawa, Kansas |
| 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 |
|---|---|---|---|
| 1255483772 | NPI | - | NPPES |
| 200439780A | Medicaid | KS | |
| 200439780E | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | APRN 53-74343-091 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elizabeth Layton Center Inc | 1557255940 | 19 |
| Entity Name | Elizabeth Layton Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649296757 PECOS PAC ID: 1557255940 Enrollment ID: O20040209000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara K Canterbury, APRN Po Box 677, Ottawa, KS 66067-0677 Ph: (785) 242-3780 | Tamara K Canterbury, APRN 2537 Eisenhower Rd, Ottawa, KS 66067-9482 Ph: (785) 242-3780 |
Ms. Gretchen L Trendel, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Sospeter Otieno, APRN Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Diane Zadra Drake, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 |