| Mr Bruce A Wallstedt, MD | |
|
6323 Canterbury Close, Brentwood, TN 37027-4870 | |
| (615) 504-9479 | |
| (615) 730-7334 |
| Full Name | Mr Bruce A Wallstedt |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 6323 Canterbury Close, Brentwood, 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 |
|---|---|---|---|
| 1770578882 | NPI | - | NPPES |
| 3086317 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD25914 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guardian Home Care Of Nashville, Llc | Franklin, TN | Home health agency |
| Adoration Home Health, Llc | Nashville, TN | Home health agency |
| Amedisys Home Health | Murfreesboro, TN | Home health agency |
| Amedisys Home Health Care | Smyrna, TN | Home health agency |
| Suncrest Home Health Services | Madison, TN | Home health agency |
| Encompass Hospice Of Tennessee | Nashville, TN | Hospice |
| Guardian Hospice Of Nashville, Llc | Franklin, TN | Hospice |
| Williamson Medical Center | Franklin, TN | Hospital |
| Saint Thomas Rutherford Hospital | Murfreesboro, TN | Hospital |
| Adamsplace, Llc | Murfreesboro, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluesky Housecalls, Llc | 3476859257 | 14 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Bluesky Housecalls, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073986410 PECOS PAC ID: 3476859257 Enrollment ID: O20160303001434 |
| Entity Name | Careconnectmd Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235857681 PECOS PAC ID: 9436523644 Enrollment ID: O20230329001222 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bruce A Wallstedt, MD 6323 Canterbury Close, Brentwood, TN 37027-4870 Ph: (615) 504-9479 | Mr Bruce A Wallstedt, MD 6323 Canterbury Close, Brentwood, TN 37027-4870 Ph: (615) 504-9479 |
Dr. Monica Leigh Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1195 Old Hickory Blvd, Suite 103, Brentwood, TN 37027 Phone: 615-373-2000 Fax: 615-891-5021 | |
Dr. Nancy A Wolfe-sidberry, M.S., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5046 Thoroughbred Ln, Brentwood, TN 37027 Phone: 615-370-8080 Fax: 615-371-8906 | |
Dr. Sreedhar Samudrala, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1195 Old Hickory Blvd, Suite 103, Brentwood, TN 37027 Phone: 615-373-2000 Fax: 615-891-5001 | |
Tahlianna I Almonte, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1001 Health Park Dr Ste 609, Brentwood, TN 37027 Phone: 615-781-4431 Fax: 615-781-4432 | |
Helen K Chung-hussain, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 782 Old Hickory Blvd Ste 203, Brentwood, TN 37027 Phone: 615-371-1619 Fax: 615-371-8420 | |
Amy Louise Melvin, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1150 Cressy Ln, Brentwood, TN 37027 Phone: 615-473-3686 | |
Debra Kay Campbell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7110 Town Center Way Ste 4, Brentwood, TN 37027 Phone: 615-660-0000 Fax: 615-377-0000 |