| Tyrone Jermaine Walcott, NP | |
|
10801 6th St Ste 120, Rancho Cucamonga, CA 91730-5987 | |
| (800) 440-4347 | |
| Not Available |
| Full Name | Tyrone Jermaine Walcott |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 10801 6th St Ste 120, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942199526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5022573 (California) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 5022573 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Fear Valley Health Medical Group Llc | 0648707109 | 352 |
| Entity Name | Cape Fear Valley Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957655 PECOS PAC ID: 0648707109 Enrollment ID: O20241220003892 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrone Jermaine Walcott, NP 4195 Chino Hills Pkwy, Chino Hills, CA 91709-2618 Ph: (910) 323-1718 | Tyrone Jermaine Walcott, NP 10801 6th St Ste 120, Rancho Cucamonga, CA 91730-5987 Ph: (800) 440-4347 |
Dorian Valdez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7567 Rhode Island Ct, Rancho Cucamonga, CA 91730 Phone: 909-646-2893 |
Sydney Lewis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9431 Haven Ave Ste 101, Rancho Cucamonga, CA 91730 Phone: 512-876-6133 |
Vanessa Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8273 White Oak Ave Ste B, Rancho Cucamonga, CA 91730 Phone: 909-686-0783 |
Dawn M Mcclure, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8470 Carson Pl Unit 30, Rancho Cucamonga, CA 91730 Phone: 314-440-8502 |
Jiao Feng, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8112 Milliken Ave Ste 201, Rancho Cucamonga, CA 91730 Phone: 909-466-7337 |
Christabel Marie Querubin-nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9375 Archibald Ave, Rancho Cucamonga, CA 91730 Phone: 999-999-9999 |
Mrs. Dionne A Gonzales, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6584 Elderberry Ct, Rancho Cucamonga, CA 91739 Phone: 323-407-1675 |