All Medicaid billing entities listing TACKIE, IRMGARD (PHYSICIAN/CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $412K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GOLDSTAR PEDIATRICS PC | FONTANA, CA | Pediatrics Physician | $412K |