Dr Courtney Ellen Halista, MD | |
4565 Market Bell Way, Powell, TN 37849 | |
(865) 374-3450 | |
(865) 374-1146 |
Full Name | Dr Courtney Ellen Halista |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4565 Market Bell Way, Powell, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417337965 | NPI | - | NPPES |
Q076530 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29530 (Nebraska) | Secondary |
207Q00000X | Family Medicine | 64835 (Tennessee) | Primary |
Entity Name | Columbia Medical Group-southern Hills Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700873171 PECOS PAC ID: 0244225621 Enrollment ID: O20040415001052 |
Entity Name | Hospital Medicine Services Of Tn Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982301065 PECOS PAC ID: 2365807633 Enrollment ID: O20230421000177 |
Mailing Address | Practice Location Address |
---|---|
Dr Courtney Ellen Halista, MD 4565 Market Bell Way, Powell, TN 37849 Ph: (865) 374-3450 | Dr Courtney Ellen Halista, MD 4565 Market Bell Way, Powell, TN 37849 Ph: (865) 374-3450 |
Ronald P Barton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 E Emory Rd, Powell, TN 37849 Phone: 865-938-3627 | |
Robert R Fehr, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2125 W Emory Rd, Powell, TN 37849 Phone: 865-938-5911 | |
Brad A Flaming, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Emory Rd, Powell, TN 37849 Phone: 865-938-3627 | |
Dr. Kathryn M Coombes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7744 Conner Rd, Powell, TN 37849 Phone: 865-546-9751 Fax: 833-908-2167 | |
Andrew R. Bejarano, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2125 W Emory Rd, Powell, TN 37849 Phone: 865-938-5911 Fax: 865-938-5924 | |
Rhea W. Dean Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Emory Rd, Powell, TN 37849 Phone: 865-938-3627 |