| Clint W Selvage, FNP | |
|
2401 Decherd Blvd, Winchester, TN 37398-1164 | |
| (931) 313-1388 | |
| Not Available |
| Full Name | Clint W Selvage |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 2401 Decherd Blvd, Winchester, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275097503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 25420 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Manchester Care Clinic Llc | 2769887108 | 2 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Manchester Care Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770154429 PECOS PAC ID: 2769887108 Enrollment ID: O20210823001726 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint W Selvage, FNP 2707 Sixteenth Model Rd, Manchester, TN 37355-4858 Ph: (931) 570-0234 | Clint W Selvage, FNP 2401 Decherd Blvd, Winchester, TN 37398-1164 Ph: (931) 313-1388 |
Mrs. Sherry Barstad, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Hospital Rd Ste E, Winchester, TN 37398 Phone: 931-962-0672 | |
Lisa Renee Stone, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Decherd Blvd, Winchester, TN 37398 Phone: 931-313-1388 Fax: 931-313-1392 | |
Kay Fearing, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 81 Memorial Dr, Winchester, TN 37398 Phone: 931-968-2525 Fax: 931-968-2527 | |
Mrs. Hallie Ruane Thuenen, CRNP PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 568 Hospital Rd, Winchester, TN 37398 Phone: 931-962-3199 Fax: 931-967-7818 | |
Erica Edwards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Dogwood Ln Ste 8, Winchester, TN 37398 Phone: 931-201-9810 | |
Stephanie Elaine Walker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Decherd Blvd, Winchester, TN 37398 Phone: 931-313-1388 | |
Mrs. Brandy Denise Ballard, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 3rd Ave Se, Winchester, TN 37398 Phone: 931-392-4749 Fax: 931-967-0284 |