| Tammy Brockmoller, | |
|
601 W Leota St, North Platte, NE 69101-6525 | |
| (308) 568-8000 | |
| Not Available |
| Full Name | Tammy Brockmoller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 601 W Leota St, North Platte, Nebraska |
| 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 |
|---|---|---|---|
| 1194575290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 61850 (Nebraska) | Secondary |
| 363L00000X | Nurse Practitioner | 115495 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Platte Nebraska Hospital Corporation | 6507856697 | 199 |
| Entity Name | North Platte Nebraska Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700855533 PECOS PAC ID: 6507856697 Enrollment ID: O20040512000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Brockmoller, 601 W Leota St, North Platte, NE 69101-6525 Ph: (308) 568-8000 | Tammy Brockmoller, 601 W Leota St, North Platte, NE 69101-6525 Ph: (308) 568-8000 |
Kimberly Ann Behnk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W Leota St, North Platte, NE 69101 Phone: 308-568-3546 | |
Dr. Theresa Causa, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Great Plains Health, 601 W Leota St, North Platte, NE 69101 Phone: 308-568-8000 | |
Mrs. Stacy Leigh Haman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Mcneel Ln, North Platte, NE 69101 Phone: 308-221-6262 | |
Kourtney Sabala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 E 3rd St, North Platte, NE 69101 Phone: 308-221-4651 Fax: 308-217-1643 | |
Megan Larae Renner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 S Jeffers St, North Platte, NE 69101 Phone: 308-534-6687 Fax: 308-534-1874 | |
Jenifer Elaine Fowler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 E 3rd St, North Platte, NE 69101 Phone: 308-221-4651 Fax: 308-221-1643 | |
Adam David Diediker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Mcneel Ln, North Platte, NE 69101 Phone: 308-568-3800 |