| Alexandra Pendergrass, | |
|
136 Wheelertown Ave, Pikeville, TN 37367 | |
| (423) 447-3524 | |
| (423) 447-3621 |
| Full Name | Alexandra Pendergrass |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 136 Wheelertown Ave, Pikeville, 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 |
|---|---|---|---|
| 1942671342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2852 (Tennessee) | Primary |
| 207Q00000X | Family Medicine | 2852 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Erlanger Health | 1153780226 | 504 |
| Entity Name | Erlanger Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Pendergrass, 5394 Summer City Rd, Evensville, TN 37332-4108 Ph: (269) 967-9089 | Alexandra Pendergrass, 136 Wheelertown Ave, Pikeville, TN 37367 Ph: (423) 447-3524 |
Diana Tapu Sanders, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 136 Wheelertown Ave, Pikeville, TN 37367 Phone: 952-457-2771 |
Nathan Reed Tollett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1045 Horsehead Ln, Pikeville, TN 37367 Phone: 423-881-6358 |
Ryan Litchfield, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 344 Church St, Pikeville, TN 37367 Phone: 423-447-2992 |
Sonja Renfroe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 344 Church St., Pikeville, TN 37367 Phone: 423-447-2992 |