| Lana Marie Elliott, | |
|
2552 Bancroft Rd, Mc Donald, TN 37353-5315 | |
| (423) 315-1603 | |
| Not Available |
| Full Name | Lana Marie Elliott |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2552 Bancroft Rd, Mc Donald, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255856480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN0000181921 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN0000022714 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Health Care-cleveland | Cleveland, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Physician Services, Llc | 8123563392 | 38 |
| Entity Name | Diagnostic Cardiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437148152 PECOS PAC ID: 1052387495 Enrollment ID: O20040907001032 |
| Entity Name | Bradley Polk Walk In Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770929333 PECOS PAC ID: 0547404931 Enrollment ID: O20130925000716 |
| Entity Name | Bradley Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710727540 PECOS PAC ID: 8123563392 Enrollment ID: O20240711003004 |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Marie Elliott, 2552 Bancroft Rd, Mc Donald, TN 37353-5315 Ph: (423) 315-1603 | Lana Marie Elliott, 2552 Bancroft Rd, Mc Donald, TN 37353-5315 Ph: (423) 315-1603 |
Darla Rae Erhard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 635 Johnston Rd, Mc Donald, TN 37353 Phone: 423-504-6950 | |
Edward Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1153 Candies Creek Rd, Mc Donald, TN 37353 Phone: 423-473-1951 |