| Stacey Louise Vallejo, MD | |
|
4230 Harding Rd, Suite 400, Nashville, TN 37205-2013 | |
| (615) 297-2700 | |
| (615) 269-4584 |
| Full Name | Stacey Louise Vallejo |
|---|---|
| Gender | Female |
| Speciality | Pulmonary Disease |
| Experience | 23 Years |
| Location | 4230 Harding Rd, Nashville, 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 |
|---|---|---|---|
| 1831289255 | NPI | - | NPPES |
| 4265773 | Other | TN | BLUE CROSS/ BLUE SHIELD |
| 7100119610 | Medicaid | KY | |
| P00837678 | Other | TN | MEDICARE RR |
| 01354639 | Other | TN | AMERIGROUP |
| 1437936 | Other | TN | CIGNA |
| 9106527 | Other | TN | AETNA |
| 1517642 | Medicaid | TN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Diagnostic Imaging Pc | 7315848140 | 528 |
| Advanced Diagnostic Imaging Pc | 7315848140 | 528 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Louise Vallejo, MD 104 Woodmont Blvd, Suite Ll50, Nashville, TN 37205-2245 Ph: (615) 386-2300 | Stacey Louise Vallejo, MD 4230 Harding Rd, Suite 400, Nashville, TN 37205-2013 Ph: (615) 297-2700 |
Megan Desai, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4220 Harding Pike, Nashville, TN 37205 Phone: 615-222-6726 Fax: 615-222-3702 | |
Harrison Klause, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
John N Bowers, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike Ste 500, Nashville, TN 37205 Phone: 629-255-2493 Fax: 629-255-4266 | |
Mr. Jacob Grand, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Pike Ste 330, Nashville, TN 37205 Phone: 615-565-6586 | |
Dr. Evan Zehr, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1161 21st Ave S, Nashville, TN 37232 Phone: 615-322-6943 | |
Spurthi N Bhatt, MD MPH Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Mr. Robert M Johnson, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2410 Patterson St, Suite 106, Nashville, TN 37203 Phone: 615-340-4611 Fax: 615-340-4658 |