| Kenneth Brown, | |
|
445 Crest Dr, Lynchburg, TN 37352-7068 | |
| (615) 305-7776 | |
| Not Available |
| Full Name | Kenneth Brown |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 445 Crest Dr, Lynchburg, 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 |
|---|---|---|---|
| 1689455339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0106X | Nurse Practitioner - Occupational Health | 34516 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 737 |
| Crossroads Urgent Care Pllc | 8325117484 | 181 |
| Entity Name | Crossroads Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672 |
| 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 | Cardiology & Vascular Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891152104 PECOS PAC ID: 3779887781 Enrollment ID: O20160211002875 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Brown, 445 Crest Dr, Lynchburg, TN 37352-7068 Ph: (615) 713-8292 | Kenneth Brown, 445 Crest Dr, Lynchburg, TN 37352-7068 Ph: (615) 305-7776 |
Deadra Renea Quinn, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 Majors Blvd, Lynchburg, TN 37352 Phone: 931-759-4727 Fax: 931-759-4729 |
Conan M Carter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Magnolia Dr, Lynchburg, TN 37352 Phone: 931-759-5044 Fax: 931-759-5042 |
Mrs. Jana M. Stovall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 Majors Blvd, Lynchburg, TN 37352 Phone: 931-759-4727 Fax: 931-759-4729 |