| Tamerayehu Tolla, A-GNP-C | |
|
400 E Red Bridge Rd Ste 207, Kansas City, MO 64131-4030 | |
| (913) 681-2398 | |
| (913) 681-2416 |
| Full Name | Tamerayehu Tolla |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 400 E Red Bridge Rd Ste 207, Kansas City, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154020998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2023010980 (Missouri) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 53-81975-102 (Kansas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20240919002593 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamerayehu Tolla, A-GNP-C 400 E Red Bridge Rd Ste 207, Kansas City, MO 64131-4030 Ph: (913) 681-2398 | Tamerayehu Tolla, A-GNP-C 400 E Red Bridge Rd Ste 207, Kansas City, MO 64131-4030 Ph: (913) 681-2398 |
Natalie Christine Lickteig, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13101 State Line Rd, Kansas City, MO 64145 Phone: 816-942-2438 | |
Sean M Ryan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Blue Pkwy, Kansas City, MO 64130 Phone: 816-923-5800 Fax: 816-922-7637 | |
Jennifer Bitner, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 913-234-3000 | |
Hannah Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-4070 Fax: 816-404-4075 | |
Randyn Wertz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7130 Wornall Rd, Kansas City, MO 64114 Phone: 816-523-9355 Fax: 816-523-9358 | |
Sarah Wakat, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd Ste 2000, Kansas City, MO 64111 Phone: 816-931-1883 | |
Scarlett Wohlleber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4321 Washington St Ste 3000, Kansas City, MO 64111 Phone: 816-932-3100 |