| Nancy Lynne Ellis, MD | |
|
1400 Dowell Springs Blvd Ste 200, Knoxville, TN 37909-2457 | |
| (865) 584-0291 | |
| (865) 584-4426 |
| Full Name | Nancy Lynne Ellis |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 44 Years |
| Location | 1400 Dowell Springs Blvd Ste 200, Knoxville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366564809 | NPI | - | NPPES |
| 0012597 | Medicaid | MS | |
| Q052520 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 09608 (Mississippi) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 13698 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The West Clinic, Pllc | 2668360579 | 112 |
| Kamilia F Kozlowski | 2860429099 | 9 |
| Entity Name | The West Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447276605 PECOS PAC ID: 2668360579 Enrollment ID: O20040315000610 |
| Entity Name | Kamilia F Kozlowski |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790708030 PECOS PAC ID: 2860429099 Enrollment ID: O20050720000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Lynne Ellis, MD 939 Snowden Farm Rd, Collierville, TN 38017-8988 Ph: (901) 860-0687 | Nancy Lynne Ellis, MD 1400 Dowell Springs Blvd Ste 200, Knoxville, TN 37909-2457 Ph: (865) 584-0291 |
John Texada, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4709 Papermill Dr Ste 201, Knoxville, TN 37909 Phone: 865-766-6870 | |
Alyssa Louise Dutton, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7500 Mountie Lane, Knoxville, TN 37924 Phone: 865-919-4842 | |
James Scott Schauberger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Weisgarber Rd Ste 102, Knoxville, TN 37909 Phone: 865-558-9862 Fax: 865-584-3478 | |
Scott A Wegryn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484 | |
Dr. Deborah Ann Winters, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 Dowell Springs Blvd Ste 200, Knoxville, TN 37909 Phone: 865-584-0291 Fax: 865-584-4426 | |
Dr. Noel Melinda Bergquist, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U107, Knoxville, TN 37920 Phone: 865-305-9661 Fax: 865-305-6148 | |
Samuel H Feaster, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484 |