| Haley Camino, PA-C | |
|
811 N Main St, Mt Pleasant, TN 38474-1017 | |
| (931) 379-3229 | |
| Not Available |
| Full Name | Haley Camino |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 811 N Main St, Mt Pleasant, 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 |
|---|---|---|---|
| 1750036612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 4936 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 737 |
| Privia Medical Group Tennessee Llc | 0547667552 | 141 |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Upperline Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20171114002720 |
| Entity Name | Privia Medical Group Tennessee LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Camino, PA-C 371 Jonestown Rd, Summertown, TN 38483-7061 Ph: (660) 591-5275 | Haley Camino, PA-C 811 N Main St, Mt Pleasant, TN 38474-1017 Ph: (931) 379-3229 |
Patricia H Mccarthy, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 S Cross Bridges Rd, Mt Pleasant, TN 38474 Phone: 931-379-5821 Fax: 931-379-5867 |