| Tyler Lufholm, APRN | |
|
2509 W 18th Ave, Emporia, KS 66801-6105 | |
| (620) 341-9335 | |
| (620) 208-9335 |
| Full Name | Tyler Lufholm |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2509 W 18th Ave, Emporia, Kansas |
| 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 |
|---|---|---|---|
| 1609468396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5379915071 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Ottawa | Ottawa, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology And Skin Cancer Center Pa | 1557304672 | 6 |
| Entity Name | Advanced Dermatology And Skin Cancer Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124094867 PECOS PAC ID: 1557304672 Enrollment ID: O20050608001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Lufholm, APRN 2735 Pembrook Pl, Manhattan, KS 66502-7482 Ph: (785) 537-4990 | Tyler Lufholm, APRN 2509 W 18th Ave, Emporia, KS 66801-6105 Ph: (620) 341-9335 |
Lisa Lynn Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 Fax: 620-341-7821 | |
Janice M. Noyes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Commercial St, Emporia, KS 66801 Phone: 620-341-5223 Fax: 620-341-5045 | |
Amy M Tolles, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 12th Ave, Emporia, KS 66801 Phone: 785-343-2900 | |
Renee Elaine Pankaskie, DNP-FNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 | |
Mrs. Joan Priscilla Grother, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 12th Ave Ste 202, Emporia, KS 66801 Phone: 620-342-2900 | |
Adam Scott Galindo, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 12th Ave Ste 207, Emporia, KS 66801 Phone: 620-342-4278 Fax: 620-343-5989 | |
Opal Peggysue Fell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 12th Ave, Ste 401, Emporia, KS 66801 Phone: 620-343-2900 Fax: 620-343-9484 |