| Mariah Shyanne Hall Phillips, | |
|
266 Joule St, Alcoa, TN 37701-2422 | |
| (865) 984-3864 | |
| (865) 380-4095 |
| Full Name | Mariah Shyanne Hall Phillips |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 266 Joule St, Alcoa, 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 |
|---|---|---|---|
| 1134745912 | NPI | - | NPPES |
| Q071442 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA0000004657 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blount Memorial Hospital | Maryville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blount Memorial Physician Group Inc | 6406844174 | 252 |
| Entity Name | Blount Memorial Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Shyanne Hall Phillips, 950 Baker Hwy Unit 4, Huntsville, TN 37756-4169 Ph: (865) 584-4747 | Mariah Shyanne Hall Phillips, 266 Joule St, Alcoa, TN 37701-2422 Ph: (865) 984-3864 |
Emily Elliott, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 |
Olivia Callahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 230 Associates Blvd, Alcoa, TN 37701 Phone: 865-273-1555 |
Ms. Amalie Beth Shanks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 230 Associates Blvd, Alcoa, TN 37701 Phone: 865-977-4673 Fax: 865-273-1550 |
Nicholas Michael Agvent, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 Fax: 865-380-4095 |
Ilienis Perez-rios, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 122 Kent Place, Alcoa, TN 37701 Phone: 865-637-8812 Fax: 865-342-4678 |
James Thomas Bailey Iv, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 |
Mark A Reiff, Physician Assistant Medicare: Medicare Enrolled Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 Fax: 865-380-4095 |