| Peninsula Div Parkwest MC | |
|
9352 Parkwest Blvd Knoxville TN 37923 | |
| (865) 374-3000 | |
| Not Available |
| Full Name | Peninsula Div Parkwest MC |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 9352 Parkwest Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Robert Boos (SVP REVENUE CYCLE) |
| Authorized Official Contact | 8653743090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Div Parkwest MC Po Box 440436 Nashville TN 37244-0436 | Peninsula Div Parkwest MC 9352 Parkwest Blvd Knoxville TN 37923 Ph: (865) 374-3000 |
| NPI Number | 1396739165 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 07/23/2026 |
| Certification Date | 07/23/2026 |
| Medicare PECOS PAC ID | 8527965417 |
|---|---|
| Medicare Enrollment ID | O20040429000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396739165 | NPI | - | NPPES |
| 0440173 | Medicaid | TN |
| Provider Name | Gary W Lethco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851466247 PECOS PAC ID: 4880593441 Enrollment ID: I20040102000801 |
| Provider Name | Bert E Simpson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093792442 PECOS PAC ID: 5193627792 Enrollment ID: I20040123000641 |
| Provider Name | Roger a Riedel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356331805 PECOS PAC ID: 0345143947 Enrollment ID: I20040130000509 |
| Provider Name | Mitchell H Weiss |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316902687 PECOS PAC ID: 2860380946 Enrollment ID: I20040309001287 |
| Provider Name | Berta M Bergia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275501728 PECOS PAC ID: 1052200581 Enrollment ID: I20040312000878 |
| Provider Name | Mohammad I Hussain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699773747 PECOS PAC ID: 4587563010 Enrollment ID: I20040312000926 |
| Provider Name | Albert R Blacky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699762252 PECOS PAC ID: 6507756020 Enrollment ID: I20040318000527 |
| Provider Name | Joanne V Filchock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477521037 PECOS PAC ID: 6709878366 Enrollment ID: I20040401001572 |
| Provider Name | Andrews Paul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780656249 PECOS PAC ID: 2466445143 Enrollment ID: I20040414000284 |
| Provider Name | Lesley Y Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932186970 PECOS PAC ID: 3274529052 Enrollment ID: I20040426000701 |
| Provider Name | John M Prince |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861501991 PECOS PAC ID: 3971592486 Enrollment ID: I20040510001268 |
| Provider Name | Douglas L Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083669345 PECOS PAC ID: 1850381757 Enrollment ID: I20040513000797 |
| Provider Name | Emily a Diltz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972593986 PECOS PAC ID: 6103808159 Enrollment ID: I20040603000323 |
| Provider Name | Stephen L Marietta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053301606 PECOS PAC ID: 2668454133 Enrollment ID: I20040607001223 |
| Provider Name | Daniel L Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417059254 PECOS PAC ID: 2769462050 Enrollment ID: I20040726000974 |
| Provider Name | Donna G Mckenzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841209715 PECOS PAC ID: 7719957802 Enrollment ID: I20040727001111 |
| Provider Name | Paul Dcruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558361493 PECOS PAC ID: 0345210167 Enrollment ID: I20040729000270 |
| Provider Name | Daniel Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013975168 PECOS PAC ID: 9436129145 Enrollment ID: I20040729001016 |
| Provider Name | Mona S Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952378291 PECOS PAC ID: 9032178975 Enrollment ID: I20041006001421 |
| Provider Name | Sergio Loaiza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306828314 PECOS PAC ID: 2264496942 Enrollment ID: I20041112000533 |
| Provider Name | Clay E Stalcup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750389979 PECOS PAC ID: 8820041023 Enrollment ID: I20050228001012 |
| Provider Name | Laraine Lieberman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336108562 PECOS PAC ID: 4688620156 Enrollment ID: I20050328000862 |
| Provider Name | Mujeeb H Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417924002 PECOS PAC ID: 2264472497 Enrollment ID: I20050506000696 |
| Provider Name | Safia M Sabri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881661627 PECOS PAC ID: 5092786616 Enrollment ID: I20050517000953 |
| Provider Name | Jeffery L Easterly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165178 PECOS PAC ID: 2365486321 Enrollment ID: I20050610000775 |
| Provider Name | Shyamsunder Prasad Vuyyuru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568430726 PECOS PAC ID: 7012947203 Enrollment ID: I20050817000581 |
| Provider Name | Rajendra T Raman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346219441 PECOS PAC ID: 0446280648 Enrollment ID: I20050817000689 |
| Provider Name | Tamela King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386609956 PECOS PAC ID: 4880624865 Enrollment ID: I20050818001068 |
| Provider Name | Thea Cross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093788044 PECOS PAC ID: 3577597160 Enrollment ID: I20050922001026 |
| Provider Name | Nareshbhai R Mistry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699763250 PECOS PAC ID: 1557466711 Enrollment ID: I20070417000208 |
| Provider Name | Tony a Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639390685 PECOS PAC ID: 2264526474 Enrollment ID: I20070919000457 |
| Provider Name | Gwendolyn D Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972654374 PECOS PAC ID: 5496844888 Enrollment ID: I20071207000867 |
| Provider Name | Matthew M Reichert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477684405 PECOS PAC ID: 2466416771 Enrollment ID: I20080618000029 |
| Provider Name | Nalini Samavedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629121447 PECOS PAC ID: 6709979693 Enrollment ID: I20081210000343 |
| Provider Name | Veronica M Gubatan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558369736 PECOS PAC ID: 7416840053 Enrollment ID: I20090128000519 |
| Provider Name | Ayaz M Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881871374 PECOS PAC ID: 3779640826 Enrollment ID: I20090317000626 |
| Provider Name | Kenneth M Bielak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861459836 PECOS PAC ID: 7810041589 Enrollment ID: I20090813000843 |
| Provider Name | Scott Luchsinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164467429 PECOS PAC ID: 0345328357 Enrollment ID: I20100210000059 |
| Provider Name | Jesse T Doers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467498097 PECOS PAC ID: 0840378832 Enrollment ID: I20100223000093 |
| Provider Name | Shannon L Byrd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265477400 PECOS PAC ID: 9133207277 Enrollment ID: I20100224000417 |
| Provider Name | Robert G Harned |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184699845 PECOS PAC ID: 8628113495 Enrollment ID: I20100304000158 |
| Provider Name | Ron O Debord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851614564 PECOS PAC ID: 1759414238 Enrollment ID: I20100804000621 |
| Provider Name | Bruce Neal Allsop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982650727 PECOS PAC ID: 9032004445 Enrollment ID: I20101018001039 |
| Provider Name | John G Kupfner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285832964 PECOS PAC ID: 7810064177 Enrollment ID: I20101104001255 |
| Provider Name | Amanda Albertsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386964641 PECOS PAC ID: 4385830041 Enrollment ID: I20101122000242 |
| Provider Name | Ashley R Tindell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629262589 PECOS PAC ID: 2264614775 Enrollment ID: I20110304000246 |
| Provider Name | Nicholas Peter Xenopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568548006 PECOS PAC ID: 4981594546 Enrollment ID: I20110520000323 |
| Provider Name | Navneet Taneja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366601841 PECOS PAC ID: 1951579713 Enrollment ID: I20110721000411 |
| Provider Name | Surendra K Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516440 PECOS PAC ID: 7315118726 Enrollment ID: I20110915000280 |
| Provider Name | Amir Hussaini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235137415 PECOS PAC ID: 2567635725 Enrollment ID: I20111103000174 |
| Provider Name | Jeremy M Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134462864 PECOS PAC ID: 7810136694 Enrollment ID: I20130627000326 |
| Provider Name | Saadi Ahmad Siddiqi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396944575 PECOS PAC ID: 7315027968 Enrollment ID: I20131114000508 |
| Provider Name | Samuel Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467684621 PECOS PAC ID: 1850415985 Enrollment ID: I20140825000197 |
| Provider Name | Cynthia T Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780004531 PECOS PAC ID: 6507084860 Enrollment ID: I20140827002826 |
| Provider Name | Thomas Wannenburg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346225380 PECOS PAC ID: 6608904420 Enrollment ID: I20150624002410 |
| Provider Name | Abdelhamid M Alsharif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689985285 PECOS PAC ID: 2860630100 Enrollment ID: I20150924001765 |
| Provider Name | Megan E Stonecypher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508156563 PECOS PAC ID: 5496990996 Enrollment ID: I20151027002787 |
| Provider Name | Joseph C Petit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285865667 PECOS PAC ID: 0941510457 Enrollment ID: I20151113000514 |
| Provider Name | Bassem Abazid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689835944 PECOS PAC ID: 0749451292 Enrollment ID: I20151211001838 |
| Provider Name | Thomas Patrick Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780843599 PECOS PAC ID: 2567618879 Enrollment ID: I20191113000713 |
| Provider Name | Kamran Boka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922249770 PECOS PAC ID: 8820266943 Enrollment ID: I20191118003083 |
| Provider Name | Spencer Austin Pugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003294992 PECOS PAC ID: 7618262593 Enrollment ID: I20200227001700 |
| Provider Name | Sara Negrotto |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932456621 PECOS PAC ID: 9335380013 Enrollment ID: I20200629001910 |
| Provider Name | Rachel Guthrie Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063830826 PECOS PAC ID: 3173847563 Enrollment ID: I20200804001195 |
| Provider Name | Rocco Cannistraro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427435072 PECOS PAC ID: 9638481476 Enrollment ID: I20200805003317 |
| Provider Name | Charles J Allderdice |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104262096 PECOS PAC ID: 3577707272 Enrollment ID: I20200812001042 |
| Provider Name | John Noah Meriwether |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356630008 PECOS PAC ID: 0840416293 Enrollment ID: I20200909003421 |
| Provider Name | Kaja Switalska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073099529 PECOS PAC ID: 5991124083 Enrollment ID: I20200923000023 |
| Provider Name | Randy Bargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970517 PECOS PAC ID: 4587074216 Enrollment ID: I20210720001242 |
| Provider Name | Stephanie H Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741646 PECOS PAC ID: 7012315260 Enrollment ID: I20211001002498 |
| Provider Name | Ellion Pap Mangel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508381393 PECOS PAC ID: 2567860075 Enrollment ID: I20211014001225 |
| Provider Name | Meredith Dvorak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083387567 PECOS PAC ID: 5395143689 Enrollment ID: I20211019000038 |
| Provider Name | Jordan Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063030369 PECOS PAC ID: 8921496134 Enrollment ID: I20211020002019 |
| Provider Name | Claudia Noemi Segovia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376119354 PECOS PAC ID: 5799173662 Enrollment ID: I20211026001136 |
| Provider Name | Alex Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093388605 PECOS PAC ID: 8123417375 Enrollment ID: I20211110001001 |
| Provider Name | Zulma Swank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710340906 PECOS PAC ID: 9234423906 Enrollment ID: I20220603001247 |
| Provider Name | Jeremy Brooks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861873879 PECOS PAC ID: 6103130919 Enrollment ID: I20220801000939 |
| Provider Name | Kassidy Nicole Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194435800 PECOS PAC ID: 8820453897 Enrollment ID: I20230426001000 |
| Provider Name | Edin Sadic |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386006526 PECOS PAC ID: 2365786191 Enrollment ID: I20230703000833 |
| Provider Name | Michael K Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770292666 PECOS PAC ID: 6507218070 Enrollment ID: I20240119003052 |
| Provider Name | Emily Delilah Beasley Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164762951 PECOS PAC ID: 5597118844 Enrollment ID: I20240202000792 |
| Provider Name | Amy L. Rosenbalm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861264434 PECOS PAC ID: 7012350218 Enrollment ID: I20240205002405 |
| Provider Name | Joseph K Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346367125 PECOS PAC ID: 1254774656 Enrollment ID: I20240213000035 |
| Provider Name | Tina Spivey Gibson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508324948 PECOS PAC ID: 2466897111 Enrollment ID: I20240304002525 |
| Provider Name | Ashok Polu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053794826 PECOS PAC ID: 9739584210 Enrollment ID: I20240308000113 |
| Provider Name | Angela Goins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003292236 PECOS PAC ID: 9234576257 Enrollment ID: I20240326000845 |
| Provider Name | Harley Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023724580 PECOS PAC ID: 2365814787 Enrollment ID: I20240613000727 |
| Provider Name | Kurtis Jacob Kress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214496 PECOS PAC ID: 0749723419 Enrollment ID: I20240621003661 |
| Provider Name | Livana Koznesoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548729411 PECOS PAC ID: 6709119076 Enrollment ID: I20240820002844 |
| Provider Name | Madeline Hanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972282465 PECOS PAC ID: 3779016787 Enrollment ID: I20241030000089 |
| Provider Name | Halley Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467283721 PECOS PAC ID: 9234662024 Enrollment ID: I20241031003914 |
| Provider Name | Jamie Renee Collett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982381505 PECOS PAC ID: 4486187291 Enrollment ID: I20241101000415 |
| Provider Name | Nicole Eslinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134959679 PECOS PAC ID: 8224564943 Enrollment ID: I20241205000066 |
| Provider Name | Cassaundra Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205606076 PECOS PAC ID: 6901333079 Enrollment ID: I20241231002877 |
| Provider Name | Samira a Mohamedali |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366563546 PECOS PAC ID: 7214458710 Enrollment ID: I20250312001647 |
| Provider Name | Angel Leah Behne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609694702 PECOS PAC ID: 8820511967 Enrollment ID: I20250328002342 |
| Provider Name | Jessica Nicole Binns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114813342 PECOS PAC ID: 4587164850 Enrollment ID: I20250821002188 |
| Provider Name | Amanda Leuthold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013536085 PECOS PAC ID: 9133540842 Enrollment ID: I20251015000291 |
| Provider Name | James Pincham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366909350 PECOS PAC ID: 0749771459 Enrollment ID: I20251111001343 |
| Provider Name | Christina Laborde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447801873 PECOS PAC ID: 7214420827 Enrollment ID: I20251202003888 |
| Provider Name | Vaishali Hira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104782507 PECOS PAC ID: 0547740441 Enrollment ID: I20260218004250 |
| Provider Name | Olga Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427908417 PECOS PAC ID: 3476028192 Enrollment ID: I20260410000892 |
| Provider Name | Daryll Inso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235082991 PECOS PAC ID: 8325515604 Enrollment ID: I20260423002072 |
Lane M. Cook, M.D. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4428 Sutherland Ave, Knoxville, TN 37919 Phone: 865-588-6425 Fax: 865-584-8066 |
David Friend, LCSW Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W Emory Rd., Knoxville, TN 37931 Phone: 865-219-9559 |
Omega Pain Management, PC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6348 Lonas Spring Dr, Knoxville, TN 37909 Phone: 865-337-5137 Fax: 888-839-6922 |
The Next Door Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Maryville Pike, Knoxville, TN 37920 Phone: 865-934-2890 Fax: 865-934-2894 |
Mckinnon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6626 Central Avenue Pike, Knoxville, TN 37912 Phone: 865-235-9742 |
Rha Health Services TN LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 705, Knoxville, TN 37923 Phone: 895-769-7491 |