| Tara Sue Vangundy, CFNP | |
|
1110 Oakwood Ave, Oakwood, OH 45419-2911 | |
| (937) 885-7163 | |
| (937) 567-0670 |
| Full Name | Tara Sue Vangundy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1110 Oakwood Ave, Oakwood, Ohio |
| 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 |
|---|---|---|---|
| 1295080851 | NPI | - | NPPES |
| 0068897 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA13396 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Geriatric Care, Llc | 3476642901 | 10 |
| Entity Name | Valley Medical Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528127610 PECOS PAC ID: 0840284345 Enrollment ID: O20040408000888 |
| Entity Name | Comprehensive Geriatric Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598945230 PECOS PAC ID: 3476642901 Enrollment ID: O20071205000420 |
| Entity Name | Kav Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891332946 PECOS PAC ID: 2466806864 Enrollment ID: O20231003002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Sue Vangundy, CFNP 7073 Clyo Rd, Centerville, OH 45459-4816 Ph: (937) 435-5857 | Tara Sue Vangundy, CFNP 1110 Oakwood Ave, Oakwood, OH 45419-2911 Ph: (937) 885-7163 |
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Sugar Camp Cir Ste 200, Oakwood, OH 45409 Phone: 937-276-8320 Fax: 937-276-8325 | |
Taylor Hausfeld, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Walnut Springs Dr, Oakwood, OH 45419 Phone: 937-479-6990 | |
Mrs. Brenna Marie Gingrich, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 414 Oakwood Ave, Oakwood, OH 45409 Phone: 937-204-4802 | |
Isabelle Mccurry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 Oakwood Ave, Oakwood, OH 45419 Phone: 937-885-7163 Fax: 937-567-0670 | |
Angela Lynn Robinson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Sugar Camp Cir Ste 101, Oakwood, OH 45409 Phone: 937-245-7777 | |
Amanda Denee Zurface Jones, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Sugar Camp Cir Ste 101, Oakwood, OH 45409 Phone: 937-567-6700 |