| Tracey D Beverley, MD | |
|
321 Tellico Street, Madisonville, TN 37354-1194 | |
| (865) 213-8594 | |
| (865) 213-8359 |
| Full Name | Tracey D Beverley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 321 Tellico Street, Madisonville, 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 |
|---|---|---|---|
| 1083651533 | NPI | - | NPPES |
| Q000340 | Medicaid | TN | |
| 4330111 | Other | TN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD37666 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Sweetwater Hosp Home Health | Sweetwater, TN | Home health agency |
| Sweetwater Hospital Association | Sweetwater, TN | Hospital |
| Starr Regional Medical Center Athens | Athens, TN | Hospital |
| Wood Presbyterian Home | Sweetwater, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Sweetwater Hospital Association | 6608773775 | 24 |
| Entity Name | Sweetwater Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558995399 PECOS PAC ID: 6608773775 Enrollment ID: O20210226000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey D Beverley, MD 304 Wright Street, Sweetwater, TN 37874-2823 Ph: (865) 213-8336 | Tracey D Beverley, MD 321 Tellico Street, Madisonville, TN 37354-1194 Ph: (865) 213-8594 |
Robin Lee Harding, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Hasmukh Vanmali Kanabar, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 167 Warren St, Madisonville, TN 37354 Phone: 423-442-5480 Fax: 423-442-4416 |