| Nelson J Mangione, MD | |
|
300 Stonecrest Blvd, Suite 410, Smyrna, TN 37167 | |
| (615) 832-8731 | |
| (615) 833-5178 |
| Full Name | Nelson J Mangione |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 300 Stonecrest Blvd, Smyrna, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164504544 | NPI | - | NPPES |
| 3706183 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 21023 (Tennessee) | Primary |
| Entity Name | Proactive Heart & Vascular Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700973625 PECOS PAC ID: 6406753748 Enrollment ID: O20031216000169 |
| Entity Name | Centennial Heart Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245393057 PECOS PAC ID: 9931204237 Enrollment ID: O20070416000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson J Mangione, MD 397 Wallace Road, Suite 216, Nashville, TN 37211 Ph: (615) 832-8731 | Nelson J Mangione, MD 300 Stonecrest Blvd, Suite 410, Smyrna, TN 37167 Ph: (615) 832-8731 |
Dr. Douglas Craig Beatty, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 693 President Pl, 103, Smyrna, TN 37167 Phone: 615-223-6900 Fax: 615-223-9441 | |
Dr. Jonathan D Rotker, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Stonecrest Blvd Ste 110, Smyrna, TN 37167 Phone: 615-223-6606 Fax: 615-223-6629 | |
Dr. Hillary H. Hunt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 741 President Pl, Suite 200, Smyrna, TN 37167 Phone: 615-459-7104 Fax: 615-459-7822 | |
Hammad Amjad Aziz, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Stonecrest Blvd Ste 410, Smyrna, TN 37167 Phone: 615-220-6144 Fax: 615-220-3663 | |
Ms. Emily Gea Waller, APN Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 741 President Pl Ste 200, Smyrna, TN 37167 Phone: 615-459-7104 Fax: 615-459-7104 | |
Mitchell Andrew Pullias, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 741 President Pl, Ste 200, Smyrna, TN 37167 Phone: 615-459-7104 Fax: 615-459-7822 |