| Omega Pain Management, Pc | |
|
6348 Lonas Spring Dr Knoxville TN 37909-2719 | |
| (865) 337-5137 | |
| (888) 839-6922 |
| Full Name | Omega Pain Management, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6348 Lonas Spring Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Igor Smelyansky (OWNER) |
| Authorized Official Contact | 9175234576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Pain Management, Pc Po Box 32965 Knoxville TN 37930-2965 Ph: (865) 337-5137 | Omega Pain Management, Pc 6348 Lonas Spring Dr Knoxville TN 37909-2719 Ph: (865) 337-5137 |
| NPI Number | 1003233743 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 0749404531 |
|---|---|
| Medicare Enrollment ID | O20140618000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003233743 | NPI | - | NPPES |
| Q007280 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (Tennessee) | Primary |
| Provider Name | Lindsey Erin Dunford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164711271 PECOS PAC ID: 2860678653 Enrollment ID: I20110511000746 |
| Provider Name | Igor Smelyansky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295818409 PECOS PAC ID: 4587659503 Enrollment ID: I20110718000272 |
| Provider Name | Staci Diana Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289835 PECOS PAC ID: 7416298716 Enrollment ID: I20190415002648 |
| Provider Name | Jessica M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770113920 PECOS PAC ID: 2668800376 Enrollment ID: I20210921000594 |
| Provider Name | Joy Lynn Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134747397 PECOS PAC ID: 1153789888 Enrollment ID: I20230628000123 |
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