| Andrea M Humphrey, MD | |
|
529 Medical Dr, Livingston, TN 38570-1880 | |
| (931) 823-9970 | |
| (931) 823-9006 |
| Full Name | Andrea M Humphrey |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 529 Medical Dr, Livingston, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265626105 | NPI | - | NPPES |
| 036102973 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-102973 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 67473 (Tennessee) | Primary |
| Entity Name | Amg-livingston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869297 PECOS PAC ID: 1052225760 Enrollment ID: O20031120000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea M Humphrey, MD 529 Medical Dr, Livingston, TN 38570-1880 Ph: (931) 823-9970 | Andrea M Humphrey, MD 529 Medical Dr, Livingston, TN 38570-1880 Ph: (931) 823-9970 |
Dr. Kenneth Lee Colburn, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4120 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-403-0574 | |
John R Clough, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5751 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-3030 Fax: 931-823-3018 | |
Martha Jeanne Moore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-8203 | |
Dr. Nicholas Clough, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5751 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-3030 Fax: 931-823-3018 | |
Lindsey Myers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4120 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-403-0574 | |
Samantha Easterly Mclerran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-8203 |