| Mr Kevin Lee Clemons, PA-C | |
|
234 W Northfield Blvd, Murfreesboro, TN 37129-1590 | |
| (615) 895-6995 | |
| (615) 895-6994 |
| Full Name | Mr Kevin Lee Clemons |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 234 W Northfield Blvd, Murfreesboro, 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 |
|---|---|---|---|
| 1528194867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0000000585 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Tennessee Llc | 0547667552 | 141 |
| Entity Name | Crossroads Medical Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073539607 PECOS PAC ID: 3779544895 Enrollment ID: O20071203000721 |
| Entity Name | Cordova Pain Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437565900 PECOS PAC ID: 1759500523 Enrollment ID: O20140910001813 |
| Entity Name | Privia Medical Group Tennessee LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Lee Clemons, PA-C Po Box 599, Spencerville, MD 20868-0599 Ph: (240) 786-5804 | Mr Kevin Lee Clemons, PA-C 234 W Northfield Blvd, Murfreesboro, TN 37129-1590 Ph: (615) 895-6995 |
Benjamin James Stasik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 Medical Center Pkwy Ste 200, Murfreesboro, TN 37129 Phone: 615-896-6800 Fax: 615-895-8890 |
Mr. Caleb David Miner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 North Highland Ave, Middle Tennessee Medical Center, Murfreesboro, TN 37130 Phone: 904-953-2000 |
Mr. Michael Warren, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1932 Oak Dr, Murfreesboro, TN 37128 Phone: 000-000-0000 |
Heath Bridges, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Center Pkwy, Murfreesboro, TN 37129 Phone: 615-396-4100 |
Mr. Jason Henry Huddleston, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1800 Medical Center Pkwy, Suite 200, Murfreesboro, TN 37129 Phone: 615-896-6800 Fax: 615-695-1483 |
Mr. Michael Dawson Maddox, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 951 New Salem Hwy, Murfreesboro, TN 37129 Phone: 615-907-0123 Fax: 615-907-0133 |
Joe A Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1272 Garrison Dr, Murfreesboro, TN 37129 Phone: 161-589-3448 |