| Mr William Vidal Caicedo, FNP-C | |
|
101 Main St N, Middleton, TN 38052-3433 | |
| (731) 472-2147 | |
| (731) 472-2148 |
| Full Name | Mr William Vidal Caicedo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 101 Main St N, Middleton, Tennessee |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851732259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17787 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Home Health | Jackson, TN | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Family Medical Center | 2961755913 | 2 |
| Entity Name | Advanced Family Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467957126 PECOS PAC ID: 2961755913 Enrollment ID: O20181022002238 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Vidal Caicedo, FNP-C 101 Main St N, Middleton, TN 38052-3433 Ph: (731) 472-2147 | Mr William Vidal Caicedo, FNP-C 101 Main St N, Middleton, TN 38052-3433 Ph: (731) 472-2147 |
Teresa Morgan Dillinger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 727 S Main St, Middleton, TN 38052 Phone: 731-472-2072 Fax: 731-472-2079 | |
Mrs. Tonya Freeman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 702 S Main St, Middleton, TN 38052 Phone: 731-837-5028 Fax: 731-837-5027 | |
Ashley Elizabeth Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Chickadee Ave, Middleton, TN 38052 Phone: 731-376-0034 Fax: 731-376-2372 |