| Amber D Fern, PA-C | |
|
32 Legacy Cv, Jackson, TN 38305-3154 | |
| (731) 415-6509 | |
| Not Available |
| Full Name | Amber D Fern |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 32 Legacy Cv, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497033153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1984 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 1984 (Tennessee) | Primary |
| Entity Name | Gastroenterology Center of the Midsouth PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753 |
| Entity Name | West Tennessee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber D Fern, PA-C 32 Legacy Cv, Jackson, TN 38305-3154 Ph: (731) 415-6509 | Amber D Fern, PA-C 32 Legacy Cv, Jackson, TN 38305-3154 Ph: (731) 415-6509 |
Adam Boyd Vaughn, Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 |
Morgan Janae Mason, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 |
Mrs. Stephanie R Little, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2863 Highwy 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0410 |
Allie Rachel Mcfarland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 616 W Forest Ave, Jackson, TN 38301 Phone: 872-231-3162 |
Dakotah Willis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 657 Skyline Dr, Jackson, TN 38301 Phone: 731-541-2250 |
Erick Stafford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Sandstone Cir, Jackson, TN 38305 Phone: 731-240-1695 Fax: 731-240-1694 |
Bayley Shields, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Stonebridge Blvd, Jackson, TN 38305 Phone: 731-613-3334 |