| Jaime Hamilton Willey, CRNP | |
|
26889 Main St, Ardmore, TN 38449-3151 | |
| (256) 665-5696 | |
| (256) 484-4389 |
| Full Name | Jaime Hamilton Willey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 26889 Main St, Ardmore, 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 |
|---|---|---|---|
| 1710691209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-104626 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Athens Limestone Hospital | Athens, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcmd Llc | 7618222597 | 3 |
| Entity Name | Mcmd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477068468 PECOS PAC ID: 7618222597 Enrollment ID: O20180618001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Hamilton Willey, CRNP 26889 Main St, Ardmore, TN 38449-3151 Ph: (256) 742-2555 | Jaime Hamilton Willey, CRNP 26889 Main St, Ardmore, TN 38449-3151 Ph: (256) 665-5696 |
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 | |
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 | |
Diego Alejandro Cacho-tovar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26150 Main St, Ardmore, TN 38449 Phone: 931-207-9297 Fax: 931-209-9298 |