| Katrina D Edwards, FNP | |
|
1501 W Elk Ave, Elizabethton, TN 37643-2874 | |
| (423) 282-1480 | |
| (423) 928-1353 |
| Full Name | Katrina D Edwards |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1501 W Elk Ave, Elizabethton, 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 |
|---|---|---|---|
| 1922519693 | NPI | - | NPPES |
| Q033042 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 158762 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23396 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina D Edwards, FNP Po Box 4018, Johnson City, TN 37602-4018 Ph: (423) 282-1480 | Katrina D Edwards, FNP 1501 W Elk Ave, Elizabethton, TN 37643-2874 Ph: (423) 282-1480 |
Teresa L Payne, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-543-2584 Fax: 423-722-2060 | |
Mrs. Beverly Ann Bradshaw, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2521 Beechwood Dr, Elizabethton, TN 37643 Phone: 423-543-7919 Fax: 423-543-5323 | |
Mr. Kermit L. Dugger, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643 Phone: 423-542-8929 Fax: 423-542-8621 | |
Mrs. Ashley Danielle Bowman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Clay Little Rd, Elizabethton, TN 37643 Phone: 423-647-0404 | |
Mrs. Tiffany Charlotte Jenkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643 Phone: 423-542-7420 Fax: 423-542-7425 | |
Crystal Renee Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1641 19e Byp, Elizabethton, TN 37643 Phone: 423-542-4133 Fax: 423-542-3874 | |
Audrey Laney, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-929-2584 Fax: 423-722-2060 |