| Mr Terrance R Hartsock, PA-C | |
| 650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 956-0650 | |
| Not Available | 
| Full Name | Mr Terrance R Hartsock | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant - Medical | 
| Location | 650 Joel Dr, Fort Campbell, Kentucky | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104956028 | NPI | - | NPPES | 
| 36669332 | Medicaid | TN | |
| PA716 | Other | TN | STATE LICENSE | 
| 4166977 | Other | TN | BC/BS TN - CUMBERLAND BACK PAIN CLINIC, P.C. | 
| 1104956028 | Other | TN | UNITED HEALTHCARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 716 (Tennessee) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Terrance R Hartsock, PA-C Po Box 1226, Franklin, TN 37065-1226 Ph: (615) 591-2732 | Mr Terrance R Hartsock, PA-C 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 956-0650 | 
| Terry A Thomas Jr, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-0336 | |
| Christopher Alyn Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-3535 | |
| Gregory Hershey,  Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8727 Fax: 270-956-0180 | |
| Matthew Bedinghaus,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
| Mark Leon Siebe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
| Jessica Johns, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223 Phone: 270-798-4677 | |
| Luke Alden Sward,  Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 |