| Tara Ladawn Phillips, FNP-C | |
|
4701 W 7th St, Wake Village, TX 75501-6255 | |
| (903) 831-4065 | |
| (903) 831-4075 |
| Full Name | Tara Ladawn Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4701 W 7th St, Wake Village, Texas |
| 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 |
|---|---|---|---|
| 1801378641 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mccurtain Memorial Hospital | Idabel, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Wound Care Of Oklahoma Llc | 1254724081 | 14 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298 |
| Entity Name | Total Wound Care Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972269033 PECOS PAC ID: 1254724081 Enrollment ID: O20220131001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Ladawn Phillips, FNP-C 3515 Richmond Rd, Texarkana, TX 75503-0711 Ph: (903) 791-9355 | Tara Ladawn Phillips, FNP-C 4701 W 7th St, Wake Village, TX 75501-6255 Ph: (903) 831-4065 |
Mr. Craig David Mueller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5212 W 7th St, Wake Village, TX 75501 Phone: 903-831-6848 Fax: 903-223-7089 | |
Mr. Patrick N Smith, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5212 W 7th St, Wake Village, TX 75501 Phone: 903-831-6848 Fax: 903-223-7089 | |
Sara Leanne Miers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 N Kings Hwy, Wake Village, TX 75501 Phone: 903-614-3700 | |
Kyle Jordan Jones, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 N Kings Hwy, Wake Village, TX 75501 Phone: 903-614-3700 Fax: 903-832-7163 | |
Lindsey M Mcfaul, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5212 W 7th St, Wake Village, TX 75501 Phone: 903-831-6848 Fax: 903-223-7089 |