| Kimberly R Ferguson, FNP | |
|
1861 Main St, Sneedville, TN 37869-3645 | |
| (423) 733-2131 | |
| (423) 733-1055 |
| Full Name | Kimberly R Ferguson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 1861 Main St, Sneedville, 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 |
|---|---|---|---|
| 1316943814 | NPI | - | NPPES |
| 3902002 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 104898 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN0000007174 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Tennessee State University | 2769394774 | 16 |
| Entity Name | East Tennessee State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093990608 PECOS PAC ID: 2769394774 Enrollment ID: O20031212000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly R Ferguson, FNP Po Box 850, Rogersville, TN 37857-0850 Ph: (423) 272-9163 | Kimberly R Ferguson, FNP 1861 Main St, Sneedville, TN 37869-3645 Ph: (423) 733-2131 |
Vincent Anthony Bergamo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055 | |
Nancy P. Seal, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Main St, Sneedville, TN 37869 Phone: 423-439-4515 Fax: 423-439-4060 | |
Melinda Fleenor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 Main Street, Sneedville, TN 37869 Phone: 423-439-4515 Fax: 423-439-4515 | |
Lisa Ann Trent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055 | |
Kandi Sunshine Reece, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055 | |
Mary Jo Robbins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375-c Court Street, Sneedville, TN 37869 Phone: 423-733-2121 Fax: 423-733-4563 |