| Matthew King, NP-C | |
|
641 E Poplar Ave, Selmer, TN 38375-1828 | |
| (731) 645-5753 | |
| Not Available |
| Full Name | Matthew King |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 641 E Poplar Ave, Selmer, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104228527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 19129 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 19129 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Centers And Clinics Of Tennessee | 3678475621 | 12 |
| Entity Name | Mental Health Centers & Clinics Of Tennessee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255442794 PECOS PAC ID: 3678475621 Enrollment ID: O20040121001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew King, NP-C 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 658-6113 | Matthew King, NP-C 641 E Poplar Ave, Selmer, TN 38375-1828 Ph: (731) 645-5753 |
Zipporah Woods, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 Hillcrest St, Selmer, TN 38375 Phone: 731-394-0555 | |
Tiffany B Gray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave Ste B, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 | |
Lashon Conner, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 641 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-5753 Fax: 731-645-9885 | |
Pamela Riley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 854 Mulberry Ave, Selmer, TN 38375 Phone: 731-646-1781 | |
Mrs. Ginger Maness, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1021 Mulberry Ave, Selmer, TN 38375 Phone: 731-646-1781 | |
Rhonda L Hunt, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 832 Mulberry Ave, Selmer, TN 38375 Phone: 731-434-0200 Fax: 731-434-0203 |