| Mrs Bethany Randolph Hogan, APN-FNP | |
| 
					5520 High St, Ooltewah, TN 37363-8131  | |
| (423) 209-5440 | |
| Not Available | 
| Full Name | Mrs Bethany Randolph Hogan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 5520 High St, Ooltewah, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326487752 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17711 (Tennessee) | Primary | 
| Entity Name | Bradley Polk Walk In Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770929333 PECOS PAC ID: 0547404931 Enrollment ID: O20130925000716  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Bethany Randolph Hogan, APN-FNP 921 E 3rd St, Chattanooga, TN 37403-2102 Ph: (423) 209-8000  | Mrs Bethany Randolph Hogan, APN-FNP 5520 High St, Ooltewah, TN 37363-8131 Ph: (423) 209-5440  | 
Rachel Burchell Webb, MS, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4957 Swinyar Dr Ste 101, Ooltewah, TN 37363 Phone: 423-362-7777 Fax: 423-362-7778  | |
Lauren Walliser, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9380 Bradmore Ln, Ooltewah, TN 37363 Phone: 423-760-4630  | |
Ms. Marilyn Follett Konkel, R.N., M.P.H., C.N.M. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9413 Apison Pike, Suite 124, Ooltewah, TN 37363 Phone: 423-624-9830 Fax: 423-624-0773  | |
Anna Marschner,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6643 Bucksland Dr, Ooltewah, TN 37363 Phone: 814-860-0698  | |
Mrs. Bonnie Lyn Freeland, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5121 Ooltewah Ringgold Rd, Suite G, Ooltewah, TN 37363 Phone: 423-238-0033  | |
Candace Michele Craven, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9408 Apison Pike Ste 174, Ooltewah, TN 37363 Phone: 423-396-9894 Fax: 423-396-9508  | |
Jodi Nicole Mehlenbacher, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9203 Lee Highway, Suite 9, Ooltewah, TN 37363 Phone: 423-238-4700 Fax: 423-238-4747  |