| Lori M Middleton, | |
|
136 Mountain Perkins Ln, Suite 2, Jacksboro, TN 37757-2841 | |
| (423) 562-4149 | |
| (423) 566-6929 |
| Full Name | Lori M Middleton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 136 Mountain Perkins Ln, Jacksboro, 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 |
|---|---|---|---|
| 1922340371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 17495 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allergic Diseases Asthma And Immunology Clinic Pc | 7416950704 | 6 |
| Entity Name | Allergic Diseases Asthma & Immunology Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205879400 PECOS PAC ID: 7416950704 Enrollment ID: O20060804000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori M Middleton, 125 Town Creek Rd E, Suite 2b, Lenoir City, TN 37772-5690 Ph: (865) 986-1400 | Lori M Middleton, 136 Mountain Perkins Ln, Suite 2, Jacksboro, TN 37757-2841 Ph: (423) 562-4149 |
Anthony M. Kingsley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 Perkins Ln, Jacksboro, TN 37757 Phone: 423-500-9140 Fax: 423-435-0828 | |
Stacy Jean Riggs, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757 Phone: 423-562-4149 Fax: 423-566-6929 | |
April D Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757 Phone: 423-562-4149 | |
Katherine Gresham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 | |
Amy Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 Fax: 865-567-4722 | |
John Wesley Smiddy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 Fax: 423-567-4722 | |
Jennifer Riley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 |