| Mrs Victoria Brooke Ivy, FNP-C | |
|
1894 Cedar St, Mc Kenzie, TN 38201-2206 | |
| (731) 207-6496 | |
| Not Available |
| Full Name | Mrs Victoria Brooke Ivy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1894 Cedar St, Mc Kenzie, 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 |
|---|---|---|---|
| 1235918947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 34621 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mckenzie Medical Center Pc | 2365427853 | 26 |
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| Entity Name | Mckenzie Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Victoria Brooke Ivy, FNP-C 273 Mebanewood Dr, Huntingdon, TN 38344-2910 Ph: (731) 415-0364 | Mrs Victoria Brooke Ivy, FNP-C 1894 Cedar St, Mc Kenzie, TN 38201-2206 Ph: (731) 207-6496 |
Lori B Holladay, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Beth Mitchell Graves, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Gyu Chang Jo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Meredith Ann Brown, NP-C, CHPN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Leslie Leeann Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Oak Manor Rd, Mc Kenzie, TN 38201 Phone: 731-394-1145 | |
Briana Page Chandler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 |