| Waybridge Tn Pc | |
|
2000 Richard Jones Rd Ste 260 Nashville TN 37215-2885 | |
| (615) 732-2150 | |
| Not Available |
| Full Name | Waybridge Tn Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2000 Richard Jones Rd Ste 260, Nashville, Tennessee |
| Authorized Official Name and Position | Branson Thomas Horn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2054150858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waybridge Tn Pc 2000 Richard Jones Rd Ste 260 Nashville TN 37215-2885 Ph: () - | Waybridge Tn Pc 2000 Richard Jones Rd Ste 260 Nashville TN 37215-2885 Ph: (615) 732-2150 |
| NPI Number | 1710798350 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 4486176047 |
|---|---|
| Medicare Enrollment ID | O20250324002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710798350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Angela Shields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023309747 PECOS PAC ID: 0345564431 Enrollment ID: I20150728004936 |
| Provider Name | Kevin David Stoffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699330621 PECOS PAC ID: 7911304183 Enrollment ID: I20210930002539 |
| Provider Name | Elizabeth Dovie Ann Elwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396542833 PECOS PAC ID: 5092232470 Enrollment ID: I20250508002600 |
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