| Mr Ronnie Raines, NP | |
|
100 Old Jefferson Street, Celina, TN 38551 | |
| (931) 243-3581 | |
| Not Available |
| Full Name | Mr Ronnie Raines |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 100 Old Jefferson Street, Celina, 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 |
|---|---|---|---|
| 1245328947 | NPI | - | NPPES |
| 4136449 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3010958 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 12318 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monroe County Medical Center | Tompkinsville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monroe Medical Foundation, Inc. | 5092702472 | 21 |
| Monroe Medical Foundation, Inc. | 5092702472 | 21 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronnie Raines, NP 100 Old Jefferson Street, Celina, TN 38551 Ph: (931) 243-3581 | Mr Ronnie Raines, NP 100 Old Jefferson Street, Celina, TN 38551 Ph: (931) 243-3581 |
Micheal E Boles, PHD APRN BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 388, Celina, TN 38551 Phone: 931-243-3860 Fax: 931-243-4607 | |
Gabriel Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Guffey St, Celina, TN 38551 Phone: 931-243-2651 | |
Greda Cherry, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Doctors Dr, Celina, TN 38551 Phone: 931-243-3860 Fax: 931-243-4607 |