| Mrs Stefanie Lea Gray, APRN-BC | |
|
117 Kennedy Dr, Martin, TN 38237-3309 | |
| (731) 587-9511 | |
| (731) 587-0785 |
| Full Name | Mrs Stefanie Lea Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 117 Kennedy Dr, Martin, 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 |
|---|---|---|---|
| 1891908117 | NPI | - | NPPES |
| 4157106 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3341164 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12648 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| 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 | Bane Medical Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962103960 PECOS PAC ID: 0840655494 Enrollment ID: O20230503002798 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stefanie Lea Gray, APRN-BC 117 Kennedy Dr, Martin, TN 38237-3309 Ph: (731) 587-9511 | Mrs Stefanie Lea Gray, APRN-BC 117 Kennedy Dr, Martin, TN 38237-3309 Ph: (731) 587-9511 |
Gary Clinton Foster, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Stella Ruth Rd, Martin, TN 38237 Phone: 731-796-5900 | |
Shannon Deal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: University Of Tn Martin Student Health Services, 609 Lee Street, Martin, TN 38238 Phone: 731-881-7750 Fax: 731-881-7752 | |
Mrs. Billie Jo Kennett, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Hawks Rd, Suite 6, Martin, TN 38237 Phone: 731-587-3454 Fax: 731-587-3460 | |
Victoria Claire Hooper, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Peach St, Martin, TN 38237 Phone: 731-587-2525 Fax: 731-587-2555 | |
Heather Vascassenno, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 S Lindell St, Martin, TN 38237 Phone: 731-281-4292 | |
Stephanie Jeannette Gardner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Commons Dr, Martin, TN 38237 Phone: 731-587-5138 | |
Anthony Sneed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 Kennedy Dr, Martin, TN 38237 Phone: 731-587-9511 Fax: 731-587-0785 |