| Miss Taylor Alese Mccoy, FNP | |
|
6419 Bristol Hwy, Piney Flats, TN 37686-5208 | |
| (423) 302-6565 | |
| Not Available |
| Full Name | Miss Taylor Alese Mccoy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 6419 Bristol Hwy, Piney Flats, 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 |
|---|---|---|---|
| 1184254179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 207547 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 27145 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emmaus Community Healthcare, Pllc | 3870560741 | 5 |
| Entity Name | Emmaus Community Healthcare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379093 PECOS PAC ID: 3870560741 Enrollment ID: O20040911000150 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Taylor Alese Mccoy, FNP 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Miss Taylor Alese Mccoy, FNP 6419 Bristol Hwy, Piney Flats, TN 37686-5208 Ph: (423) 302-6565 |
Lindsey Paige Pendergrass, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5554 Highway 11 E, Piney Flats, TN 37686 Phone: 423-666-0030 Fax: 423-666-0031 | |
Mrs. Eden Marie Villiard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686 Phone: 423-538-5202 | |
Christy A Rabetoy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Allison Timbers Rd, Piney Flats, TN 37686 Phone: 423-319-7313 | |
Mary Catherine Elizabeth Shipley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686 Phone: 423-538-5202 Fax: 423-538-8208 |