| Mary Rebecca Wall, FNP-C | |
|
136 S Wilson St, Dresden, TN 38225-1133 | |
| (731) 364-4900 | |
| (731) 352-4459 |
| Full Name | Mary Rebecca Wall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 136 S Wilson St, Dresden, 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 |
|---|---|---|---|
| 1134689920 | NPI | - | NPPES |
| 3380640 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN0000025488 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN0000025488 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mckenzie Medical Center Pc | 2365427853 | 26 |
| Entity Name | Emergency Coverage Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20040220000755 |
| Entity Name | Mckenzie Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
| Entity Name | Eagle Creek Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134627557 PECOS PAC ID: 2466714571 Enrollment ID: O20180329000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rebecca Wall, FNP-C 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 Ph: (731) 352-7907 | Mary Rebecca Wall, FNP-C 136 S Wilson St, Dresden, TN 38225-1133 Ph: (731) 364-4900 |
Phyllis Ann Taylor, APNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-364-5675 Fax: 731-364-2870 | |
Mrs. Mallory Pate, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8633 Highway 22, Dresden, TN 38225 Phone: 731-364-5613 | |
Leslie Finch, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-364-5675 | |
Kelly Smith Barnes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8633 Highway 22, Dresden, TN 38225 Phone: 731-364-5613 Fax: 731-599-9663 | |
Tracie D. Rogers, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-341-0009 | |
Nita Katherine Hastings, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 E. Locus St., Dresden, TN 38225 Phone: 731-364-3196 |