| Diego Alejandro Cacho-tovar, FNP-C | |
|
26150 Main St, Ardmore, TN 38449-3158 | |
| (931) 207-9297 | |
| (931) 209-9298 |
| Full Name | Diego Alejandro Cacho-tovar |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 26150 Main St, Ardmore, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922763903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-169614 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 32008 (Tennessee) | Primary |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560 |
| Entity Name | Digestive Diseases Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306465240 PECOS PAC ID: 5395176812 Enrollment ID: O20200515001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Diego Alejandro Cacho-tovar, FNP-C 3702 7th Ave Sw, Huntsville, AL 35805-3536 Ph: () - | Diego Alejandro Cacho-tovar, FNP-C 26150 Main St, Ardmore, TN 38449-3158 Ph: (931) 207-9297 |
Deborah Ruth Verbeek, CFNP, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25495 Main St, Ardmore, TN 38449 Phone: 931-427-6969 Fax: 931-427-6967 | |
Serena Proudfoot, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26150 Main St, Ardmore, TN 38449 Phone: 931-207-9297 Fax: 931-209-9298 | |
Jaime Hamilton Willey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26889 Main St, Ardmore, TN 38449 Phone: 256-665-5696 Fax: 256-484-4389 | |
Nicholas Christofidis, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25495 Main St, Ardmore, TN 38449 Phone: 931-427-6969 Fax: 931-427-6967 |