Mrs Melissa R Cook, NP-C | |
932-b South Broadway, Portland, TN 37148 | |
(615) 745-5326 | |
(866) 868-4303 |
Full Name | Mrs Melissa R Cook |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 932-b South Broadway, Portland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568494243 | NPI | - | NPPES |
7100458990 | Medicaid | KY | |
Q028064 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11393 (Tennessee) | Primary |
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 | One Doc Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265968549 PECOS PAC ID: 8820424393 Enrollment ID: O20200130003292 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa R Cook, NP-C 932-b South Broadway, Portland, TN 37148 Ph: (615) 745-5326 | Mrs Melissa R Cook, NP-C 932-b South Broadway, Portland, TN 37148 Ph: (615) 745-5326 |
Ms. Brandy Nicole Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Reed St, Portland, TN 37148 Phone: 615-525-8792 | |
Randy Tidwell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 N Broadway, Portland, TN 37148 Phone: 615-323-1020 Fax: 615-323-1021 | |
Lisa Nazarenus, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway, Portland, TN 37148 Phone: 615-325-6755 Fax: 615-325-6936 | |
Laura Kline, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-792-2280 | |
Ms. Paula Claire Havelin, FNP, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 | |
Madeline Mccleary Gillon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Highland Dr, Portland, TN 37148 Phone: 615-325-9263 | |
Sherelen Hodges, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 Fax: 615-802-1088 |