| Tatum Bohls, | |
|
2600 E Pflugerville Pkwy, Pflugerville, TX 78660-5998 | |
| (512) 654-6100 | |
| Not Available |
| Full Name | Tatum Bohls |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2600 E Pflugerville Pkwy, Pflugerville, 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 |
|---|---|---|---|
| 1487050175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085005184 (Illinois) | Primary |
| 363A00000X | Physician Assistant | PA14672 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scott & White Hospital-round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | Hospital |
| Baylor Scott & White Medical Center – Pflugerville | Pflugerville, TX | Hospital |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Baylor Scott & White Medical Center – Buda | Buda, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Nluc PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518209113 PECOS PAC ID: 3072752302 Enrollment ID: O20130618000619 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatum Bohls, Po Box 844658, Dallas, TX 75284-4658 Ph: Not Available | Tatum Bohls, 2600 E Pflugerville Pkwy, Pflugerville, TX 78660-5998 Ph: (512) 654-6100 |
Shelly Gallini, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2013 Kelly Ln, Pflugerville, TX 78660 Phone: 866-389-2727 |
Brad Rodney Larsen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 E Pflugerville Pkwy, Pflugerville, TX 78660 Phone: 512-259-6000 Fax: 512-260-6005 |
Pennirae Hunt Frisbie, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1616 Fm 685, 106, Pflugerville, TX 78660 Phone: 512-252-9094 Fax: 512-252-9095 |
Mr. Robert B. Sandoval, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 E Pflugerville Pkwy Ste 200, Pflugerville, TX 78660 Phone: 512-654-6500 |
Olivia Nicklos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 E Pflugerville Pkwy, Pflugerville, TX 78660 Phone: 512-654-6500 |
Amy Lee, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1601 E Pflugerville Pkwy Ste 3202, Pflugerville, TX 78660 Phone: 512-320-5785 |
Hannah Leblanc, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 E Pflugerville Pkwy Ste 3202, Pflugerville, TX 78660 Phone: 512-320-5785 |