Tequila J Staten is a Nurse Practitioner (Family) in the BOWLING GREEN area and has over 16 years of experience. Tequila J Staten primary office location is at 5796 NASHVILLE RD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2009 The NPI number is 1043549918 and the information was updated approximately 6 years ago.
Tequila J Staten is affiliated with one medical group in the BOWLING GREEN area, GILBERT BARBEE MOORE AND MCILVOY PSC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
License Number | State |
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3006238 | KY |
Type/Issuer | Identifier | State |
---|---|---|
AMERICAN NURSES CREDENTIALING CENTER | 2009008228 | KY |
KY BOARD OF NURSING | 6238P | KY |
Taxonomy | State | Primary? |
---|---|---|
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X | KY | Y |
Accepts Medicare Assignment: Yes If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount. |
Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No |
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No |
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No |
Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No |
Participates in PECOS: | YES |
PECOS Individual Enrollment ID: | I20100924000996 |
PECOS Individual PAC ID: | 7911023122 |
Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
Eligible to order/refer Durable Medical Equipment (DME) | Yes |
Eligible to order/refer Home Health Agency (HHA) | Yes |
Eligible to order/refer Power Mobility Devices (PMD) | Yes |