| Constance Richardson Deidiker, PA-C | |
|
8 City Blvd Ste 300, Nashville, TN 37209-2560 | |
| (615) 329-6600 | |
| (615) 321-6226 |
| Full Name | Constance Richardson Deidiker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 8 City Blvd Ste 300, Nashville, 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 |
|---|---|---|---|
| 1588047583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2819 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tennessee Orthopaedic Alliance Pa | 5193625069 | 358 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1992 |
| Entity Name | Tonya Sue Davis |
|---|---|
| Entity Type | Practitioner - Nurse Practitioner |
| Entity Identifiers | NPI Number: 1790705838 PECOS PAC ID: 5496752313 Enrollment ID: I20061106000545 |
| Entity Name | Tennessee Orthopaedic Alliance PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538153937 PECOS PAC ID: 5193625069 Enrollment ID: O20040109000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Constance Richardson Deidiker, PA-C Po Box 306556, Nashville, TN 37230-6556 Ph: (615) 329-2294 | Constance Richardson Deidiker, PA-C 8 City Blvd Ste 300, Nashville, TN 37209-2560 Ph: (615) 329-6600 |
Hunter Robinson Stidham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-5000 |
Lyle J. Parrigin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-3000 |
Austin Caleb Swanson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-5000 |
Carra Mckennah Gross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-9177 |
Nichole Bonzano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 |
Haley Durham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Patterson St Ste 307, Nashville, TN 37203 Phone: 615-342-6900 |
Jessica Louise Barrett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 Medical Center Dr, Nashville, TN 37232 Phone: 615-322-5000 |