All Medicaid billing entities listing TACKETT, LIZA (CREDENTIALING ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $283K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JAL HOSPITAL DISTRICT | JAL, NM | General Practice Physician | $283K |