| Trisha Ann Kall, CNP | |
|
5870 N. Hiatus Rd., Tamarac, FL 33321 | |
| (937) 641-5072 | |
| Not Available |
| Full Name | Trisha Ann Kall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 5870 N. Hiatus Rd., Tamarac, Florida |
| 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 |
|---|---|---|---|
| 1811187933 | NPI | - | NPPES |
| 2544607 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | COA.07994-NP (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.07994 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha Ann Kall, CNP 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1306 | Trisha Ann Kall, CNP 5870 N. Hiatus Rd., Tamarac, FL 33321 Ph: (937) 641-5072 |
Tessa Yeganeh Shivazad, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 Primrose Ln, Tamarac, FL 33321 Phone: 954-670-4640 | |
Giselle Leon Parra, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7950 N Nob Hill Rd Apt 201, Tamarac, FL 33321 Phone: 754-248-5755 | |
Katherine E Flannery Reeves, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5870 Hiatus Rd, Tamarac, FL 33321 Phone: 800-424-3672 Fax: 954-377-3042 | |
Ms. Patricia C Perez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6463 W Commercial Blvd, Tamarac, FL 33319 Phone: 954-720-1414 Fax: 954-720-4727 | |
Silvia T Mathew, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9800 W Commercial Blvd, Tamarac, FL 33351 Phone: 954-625-8683 | |
Osmel Alba Oliveros, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7495 N University Dr, Tamarac, FL 33321 Phone: 305-534-0076 | |
Mr. Rafael Ernesto Delgado Garcell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11000 Sand Piper Ct, Tamarac, FL 33321 Phone: 619-493-9685 |