| Tylyn Loudermilk, | |
|
202 S 4th St W, Baker, MT 59313-9156 | |
| (406) 778-3331 | |
| Not Available |
| Full Name | Tylyn Loudermilk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 202 S 4th St W, Baker, Montana |
| 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 |
|---|---|---|---|
| 1467051318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0027383 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-239010 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fallon Medical Complex Hospital | Baker, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fallon Medical Complex Inc | 0941119499 | 7 |
| Entity Name | Fallon Medical Complex Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386700763 PECOS PAC ID: 0941119499 Enrollment ID: O20040614000391 |
| Entity Name | Fallon Medical Complex Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1316965346 PECOS PAC ID: 0941119499 Enrollment ID: O20061104000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Tylyn Loudermilk, 716 Adair Ave, Zanesville, OH 43701-2836 Ph: (740) 891-9000 | Tylyn Loudermilk, 202 S 4th St W, Baker, MT 59313-9156 Ph: (406) 778-3331 |
Gina Kay Manhart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 S 4th St W, Baker, MT 59313 Phone: 406-778-2833 Fax: 406-778-5355 | |
Mrs. Carrie Jo Haar, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 S 4th St W, Baker, MT 59313 Phone: 406-778-2833 Fax: 406-778-5355 |