| Mrs Katina England Huff, PA-C | |
|
133 Churchill Dr, Sparta, TN 38583-1524 | |
| (931) 836-3262 | |
| (931) 836-3269 |
| Full Name | Mrs Katina England Huff |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 133 Churchill Dr, Sparta, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093826463 | NPI | - | NPPES |
| TN0102 | Medicaid | TN | |
| 4071330 | Medicaid | TN | |
| 10075889 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA633 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas Highlands Hospital | Sparta, TN | Hospital |
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Family Medicine | 9234563180 | 2 |
| Entity Name | Alan Ross Drake |
|---|---|
| Entity Type | Practitioner - Family Practice |
| Entity Identifiers | NPI Number: 1295730281 PECOS PAC ID: 3173610888 Enrollment ID: I20100517000081 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20040220000755 |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Providence Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437703741 PECOS PAC ID: 9234563180 Enrollment ID: O20191231000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katina England Huff, PA-C Po Box 622, Sparta, TN 38583-0622 Ph: (931) 808-1378 | Mrs Katina England Huff, PA-C 133 Churchill Dr, Sparta, TN 38583-1524 Ph: (931) 836-3262 |
Mr. Cameron Wayne Heady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 457 Vista Dr, Sparta, TN 38583 Phone: 931-738-3383 Fax: 931-738-8911 |