| Heather Stafford, | |
|
1340 N Grundy Quarles Hwy, Gainesboro, TN 38562-6001 | |
| (931) 268-0291 | |
| Not Available |
| Full Name | Heather Stafford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1340 N Grundy Quarles Hwy, Gainesboro, 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 |
|---|---|---|---|
| 1891551784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 35808 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Macon Community Hospital | Lafayette, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ultra Health Llc | 6800186602 | 113 |
| Entity Name | Ultra Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20160607002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Stafford, 972 Haydenburg Rd, Whitleyville, TN 38588-7059 Ph: () - | Heather Stafford, 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562-6001 Ph: (931) 268-0291 |
Jenna Rae Watson-duncan, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562 Phone: 505-220-4092 | |
Kristi Malena Lafever, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Hospital Dr, Gainesboro, TN 38562 Phone: 859-433-5691 | |
Mrs. Margie A Stafford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 N Murray St, Jackson County Health Dept, Gainesboro, TN 38562 Phone: 931-268-0218 Fax: 931-268-0872 | |
Mrs. Melissa C Ross, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 E Gore Ave, Gainesboro, TN 38562 Phone: 931-268-6899 |