| Douglas Peter Ead, FNP - C | |
|
6498 Prospect Rd, Prospect, TN 38477-6384 | |
| (931) 309-9460 | |
| Not Available |
| Full Name | Douglas Peter Ead |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 6498 Prospect Rd, Prospect, 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 |
|---|---|---|---|
| 1629537410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 25619 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Health System Pulaski | Pulaski, TN | Hospital |
| Southern Tennessee Regional Health System Lawrence | Lawrenceburg, TN | Hospital |
| Maury Regional Hospital | Columbia, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amg-hillside Llc | 9436240017 | 20 |
| Entity Name | Amg-hillside Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710105499 PECOS PAC ID: 9436240017 Enrollment ID: O20070810000665 |
| 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 |
|---|---|
| Douglas Peter Ead, FNP - C 1605 S Locust Ave, Ste 101, Lawrenceburg, TN 38464-4053 Ph: (931) 762-4400 | Douglas Peter Ead, FNP - C 6498 Prospect Rd, Prospect, TN 38477-6384 Ph: (931) 309-9460 |
Joyce Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2046 Alf Harris Rd, Prospect, TN 38477 Phone: 931-424-6761 |