| Courtney Meadows Clark, PA | |
|
8000 Centerview Pkwy Ste 301, Cordova, TN 38018-4131 | |
| (901) 752-4900 | |
| (901) 752-4902 |
| Full Name | Courtney Meadows Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 8000 Centerview Pkwy Ste 301, Cordova, 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 |
|---|---|---|---|
| 1477079085 | NPI | - | NPPES |
| T1261618 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3365 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jim Pang Md Pllc | 4688925696 | 11 |
| Entity Name | Alliance Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295898393 PECOS PAC ID: 4082766621 Enrollment ID: O20090713000696 |
| Entity Name | Jim Pang MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447620901 PECOS PAC ID: 4688925696 Enrollment ID: O20181001001383 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Meadows Clark, PA 8000 Centerview Pkwy Ste 301, Cordova, TN 38018-4131 Ph: (901) 752-4900 | Courtney Meadows Clark, PA 8000 Centerview Pkwy Ste 301, Cordova, TN 38018-4131 Ph: (901) 752-4900 |
Cherilyn Carrillo Cabanero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57 Germantown Ct Ste 100, Cordova, TN 38018 Phone: 901-435-8550 Fax: 901-478-0781 |
Tiara Alivia Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1645 N Germantown Pkwy, Cordova, TN 38016 Phone: 901-825-5360 Fax: 901-825-5361 |
Caroline Caitlyn Crocker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57 Germantown Ct Ste 100, Cordova, TN 38018 Phone: 901-763-0200 |
Jacqueline Yaa Konadu Asamoah, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1969 Ambergate Ln Apt 4, Cordova, TN 38016 Phone: 901-586-7266 |
Davene Wells, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 146 Timber Creek Dr Ste 200, Cordova, TN 38018 Phone: 901-751-4112 |
Lauren Quick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1761 Chapel Place Cv, Cordova, TN 38016 Phone: 901-356-2027 |
Gabrielle Alexia Bonner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1694 Torrington Ct, Cordova, TN 38016 Phone: 901-412-8575 |