| Michael R Staversky, PA-C | |
|
2105 Edward Curd Ln, Franklin, TN 37067-5662 | |
| (615) 791-7255 | |
| (615) 791-7285 |
| Full Name | Michael R Staversky |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2105 Edward Curd Ln, Franklin, 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 |
|---|---|---|---|
| 1093317646 | NPI | - | NPPES |
| 4578PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6909 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | 3892 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palmetto Primary Care Physicians Llc | 4880508068 | 148 |
| Entity Name | Palmetto Primary Care Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Staversky, PA-C 2105 Edward Curd Ln, Franklin, TN 37067-5662 Ph: (615) 791-7255 | Michael R Staversky, PA-C 2105 Edward Curd Ln, Franklin, TN 37067-5662 Ph: (615) 791-7255 |
Mr. Christopher Wayne Milligan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Forrest Crossing Blvd Ste 103, Franklin, TN 37064 Phone: 615-791-5470 Fax: 615-595-0265 |
Vanessa L Grosko, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 216 Fairground St, Franklin, TN 37064 Phone: 615-790-0154 |
Caroline Eubanks Royalty, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4601 Carothers Pkwy, Ste 375, Franklin, TN 37067 Phone: 615-791-4790 Fax: 615-791-4531 |
Mr. Beck Bledsoe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Edward Curd Ln, Franklin, TN 37067 Phone: 615-791-2630 Fax: 615-791-2639 |
Tommy Gene Bourgeois Ii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5020 Carothers Pkwy, Franklin, TN 37067 Phone: 615-685-7086 |
Lance W Bolin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Edward Curd Ln, Franklin, TN 37067 Phone: 615-791-2630 Fax: 615-791-2639 |
Kelly S Caudle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Cool Springs Blvd, Franklin, TN 37067 Phone: 615-224-2670 Fax: 615-224-2671 |