| Mrs Darice R Spackman, PAC ATC | |
|
330 22nd Ave N, Nashville, TN 37203-1844 | |
| (615) 320-0007 | |
| (615) 320-0009 |
| Full Name | Mrs Darice R Spackman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 330 22nd Ave N, Nashville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689656910 | NPI | - | NPPES |
| 4166893 | Other | TN | BCBS |
| 4193033 | Other | TN | BCBS ASSISTANT AT SURGERY |
| 1504589 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 949 (Tennessee) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 949 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Skyline Medical Center | Nashville, TN | Hospital |
| Sumner Regional Medical Center | Gallatin, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurosurgical Associates | 8022099142 | 26 |
| Entity Name | Neurosurgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649223348 PECOS PAC ID: 8022099142 Enrollment ID: O20040525001675 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Darice R Spackman, PAC ATC 330 22nd Ave N, Nashville, TN 37203-1844 Ph: (615) 320-0007 | Mrs Darice R Spackman, PAC ATC 330 22nd Ave N, Nashville, TN 37203-1844 Ph: (615) 320-0007 |
Hunter Robinson Stidham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-5000 | |
Lyle J. Parrigin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-3000 | |
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Macy Christine Lee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
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