| Diana Connelly, | |
|
1050 N James M Campbell Blvd Ste 200, Columbia, TN 38401-2754 | |
| (931) 381-2663 | |
| (931) 375-0300 |
| Full Name | Diana Connelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1050 N James M Campbell Blvd Ste 200, Columbia, 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 |
|---|---|---|---|
| 1841002847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 38063 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Health System Lawrence | Lawrenceburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amg-crockett, Llc | 4789770199 | 33 |
| Entity Name | Amg-southern Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
| Entity Name | Amg-crockett, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326550732 PECOS PAC ID: 4789770199 Enrollment ID: O20071017000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Connelly, Po Box 306556, Nashville, TN 37230-6556 Ph: (615) 329-2294 | Diana Connelly, 1050 N James M Campbell Blvd Ste 200, Columbia, TN 38401-2754 Ph: (931) 381-2663 |
Ms. Terri Christine Lacher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535 | |
Alyssa Goyda, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 S Garden St, Columbia, TN 38401 Phone: 615-614-2000 | |
Jennifer Ficke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1040 N James M Campbell Blvd Ste 101, Columbia, TN 38401 Phone: 931-840-9991 | |
Lori Natalie Duncan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Nashville Hwy, Columbia, TN 38401 Phone: 931-388-8965 Fax: 931-840-8520 | |
Megan Gordon Manor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Jenland Dr, Columbia, TN 38401 Phone: 931-381-3030 Fax: 931-381-6220 | |
Ms. Racheal M Howell, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535 | |
Jeannie Auville Seaborn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 S Garden St, Columbia, TN 38401 Phone: 931-548-8090 |