| Festus O Imasuen, | |
|
5653 Frist Blvd, Suite 740, Hermitage, TN 37076-2062 | |
| (615) 884-5669 | |
| (615) 884-5670 |
| Full Name | Festus O Imasuen |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 36 Years |
| Location | 5653 Frist Blvd, Hermitage, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508136540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LPC0000000847 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Panacea Psychiatric Center Plc | 2668550377 | 3 |
| Entity Name | Panacea Psychiatric Center Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831360866 PECOS PAC ID: 2668550377 Enrollment ID: O20080422000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Festus O Imasuen, Po Box 249, Hermitage, TN 37076-0249 Ph: (615) 884-5669 | Festus O Imasuen, 5653 Frist Blvd, Suite 740, Hermitage, TN 37076-2062 Ph: (615) 884-5669 |
Mrs. Maura Caitlyn Merritt, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4032 Hallborough Way, Hermitage, TN 37076 Phone: 551-497-0407 | |
Dr. Bradley Wayne Bull, M.DIV., PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5125 Bay Overlook Dr, Hermitage, TN 37076 Phone: 865-463-1817 | |
Megan K James, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 4248 Rachel Donelson Pass, Hermitage, TN 37076 Phone: 615-473-8912 Fax: 515-473-8912 |