| Crystal L Larrimore, APRN | |
|
880 Rutledge Pike, Blaine, TN 37709-2317 | |
| (865) 933-4110 | |
| (865) 933-4729 |
| Full Name | Crystal L Larrimore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 880 Rutledge Pike, Blaine, 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 |
|---|---|---|---|
| 1225663651 | NPI | - | NPPES |
| Q062482 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26004 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ado Inc | 9335485309 | 7 |
| Entity Name | Cherokee Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769 |
| Entity Name | Thompson Oncology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619975737 PECOS PAC ID: 0941246771 Enrollment ID: O20050701000647 |
| Entity Name | Covenant Homecare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649540170 PECOS PAC ID: 0749282010 Enrollment ID: O20120517000311 |
| Entity Name | Ado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508334129 PECOS PAC ID: 9335485309 Enrollment ID: O20190111001363 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal L Larrimore, APRN 1923 Sulphur Springs Rd, Morristown, TN 37813-5654 Ph: (423) 317-9344 | Crystal L Larrimore, APRN 880 Rutledge Pike, Blaine, TN 37709-2317 Ph: (865) 933-4110 |
Mrs. Chandra B. Blanken, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1066 Rutledge Pike, Blaine, TN 37709 Phone: 865-933-9477 Fax: 865-933-9466 | |
Wanda Fay White, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 586 Rutledge Pike, Blaine, TN 37709 Phone: 865-705-2624 | |
Mary C Russell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Emory Rd, Blaine, TN 37709 Phone: 865-933-4110 Fax: 865-933-4729 | |
Tammy Gould, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1066 Rutledge Pike, Blaine, TN 37709 Phone: 865-933-9477 Fax: 865-933-9466 | |
Ms. Sharon Key Payne, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1066 Rutledge Pike, Blaine, TN 37709 Phone: 865-933-9477 Fax: 865-933-9466 | |
Rebecca Gail Patton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Cliff Top Rd, Blaine, TN 37709 Phone: 865-719-6290 |