| Matthew A Brayton, NP | |
|
1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | |
| (865) 985-7234 | |
| (865) 985-7077 |
| Full Name | Matthew A Brayton |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1850 Old Knoxville Rd, Tazewell, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700010816 | NPI | - | NPPES |
| 1513624 | Medicaid | TN | |
| 2005009300 | Other | ANCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN12262 (Tennessee) | Primary |
| Entity Name | Mark N Hendrixson |
|---|---|
| Entity Type | Practitioner - Medical Oncology |
| Entity Identifiers | NPI Number: 1457469223 PECOS PAC ID: 0840197976 Enrollment ID: I20040922000976 |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687 |
| 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 | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew A Brayton, NP 1431 Centerpoint Blvd Ste 100, Knoxville, TN 37932-1983 Ph: (865) 985-7234 | Matthew A Brayton, NP 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 Ph: (865) 985-7234 |
Srijana Dangal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Old Cave Springs Rd, Tazewell, TN 37879 Phone: 619-874-0578 |
Chelsea Rae Garvin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Payne Cir, Tazewell, TN 37879 Phone: 423-820-8318 Fax: 423-380-2506 |
Amy Howe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1582 N Broad St Ste 2, Tazewell, TN 37879 Phone: 423-626-0277 Fax: 423-626-0082 |
Julia Blocker, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Hester Ln, Tazewell, TN 37879 Phone: 423-851-4594 Fax: 423-851-4595 |
Mrs. Elizabeth Renee Mcnabb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1610 Tazewell Rd, Suite 202, Tazewell, TN 37879 Phone: 423-626-2410 Fax: 423-626-2591 |
Mr. Gary W. Brown Jr., NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1582 N Broad St, Suite 2, Tazewell, TN 37879 Phone: 423-626-0277 Fax: 423-626-0082 |
La Wanna Wallen Brock, F.N.P., A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1442 North Broad Street, Suite 7, Tazewell, TN 37879 Phone: 423-626-6145 Fax: 423-526-2804 |