| Tamara Sue Bach, FNP-BC | |
|
195 Feather Way Ste 100, Evanston, WY 82930-9352 | |
| (307) 200-9200 | |
| (307) 200-4808 |
| Full Name | Tamara Sue Bach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 195 Feather Way Ste 100, Evanston, Wyoming |
| 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 |
|---|---|---|---|
| 1346745205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SF0001X | Clinical Nurse Specialist - Family Health | 22296.1641 (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sterling Provider Group | 2264773373 | 50 |
| Entity Name | Sterling Provider Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205300407 PECOS PAC ID: 2264773373 Enrollment ID: O20190417002023 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Sue Bach, FNP-BC 195 Feather Way Ste 100, Evanston, WY 82930-9352 Ph: (307) 200-9200 | Tamara Sue Bach, FNP-BC 195 Feather Way Ste 100, Evanston, WY 82930-9352 Ph: (307) 200-9200 |
James Patrick Fleenor, ANP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373 | |
Raymond Hans Benson, PMHNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 190 Arrowhead Dr, Evanston, WY 82930 Phone: 307-789-3636 | |
Mr. Eric G Roman, NP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373 | |
Marisha Lee Vanvleet, APRN-CNP, PMHNP-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 724 Front St Ste 404, Evanston, WY 82930 Phone: 307-288-2328 Fax: 307-448-4606 |