| Mr Ryan K Rogers, FNP-BC | |
|
204 Shaver Dr, Talbott, TN 37877-8552 | |
| (423) 581-7040 | |
| (423) 581-9563 |
| Full Name | Mr Ryan K Rogers |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 204 Shaver Dr, Talbott, 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 |
|---|---|---|---|
| 1356781124 | NPI | - | NPPES |
| Q000929 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN160679 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN17666 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morristown Hamblen Hospital Association | Morristown, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optivrx, Llc | 1254796675 | 2 |
| Primary Care Associates, Pc | 9931179041 | 3 |
| Entity Name | Primary Care Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306853965 PECOS PAC ID: 9931179041 Enrollment ID: O20040727001244 |
| Entity Name | Optivrx, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699474320 PECOS PAC ID: 1254796675 Enrollment ID: O20231002002217 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan K Rogers, FNP-BC 204 Shaver Dr, Talbott, TN 37877-8552 Ph: (423) 581-7040 | Mr Ryan K Rogers, FNP-BC 204 Shaver Dr, Talbott, TN 37877-8552 Ph: (423) 581-7040 |
Mrs. Rachel Rouse Dearing, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Shaver Dr, Talbott, TN 37877 Phone: 423-581-7040 Fax: 423-581-9563 | |
Mrs. Julie Roach Gray, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6350 West Andrew Johnson Highway, Talbott, TN 37877 Phone: 423-714-2200 Fax: 423-586-0614 | |
Mrs. Michelle Mccluskey, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Shaver Dr, Talbott, TN 37877 Phone: 423-581-7040 Fax: 423-581-9563 | |
Paula Mae Montes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 495 Phyllis Cir, Talbott, TN 37877 Phone: 423-839-5365 | |
Mrs. Lucinda Hicks, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6890 West Andrew Johnson Highway, Talbott, TN 37877 Phone: 423-839-2120 Fax: 423-839-2125 |