| Randle S Miskelly, APN | |
|
1306 Us Highway 45 N, Henderson, TN 38340-4003 | |
| (731) 989-9899 | |
| (731) 989-3495 |
| Full Name | Randle S Miskelly |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 1306 Us Highway 45 N, Henderson, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013948066 | NPI | - | NPPES |
| 3643080 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11859 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Jackson, TN | Home health agency |
| Abilishealth Brownsville, Llc | Brownsville, TN | Home health agency |
| Medical Center Home Health | Jackson, TN | Home health agency |
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Street Family Medicine Inc | 8022039718 | 6 |
| Entity Name | Main Street Family Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538191135 PECOS PAC ID: 8022039718 Enrollment ID: O20051209000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Randle S Miskelly, APN 1306 Us Highway 45 N, Henderson, TN 38340-4003 Ph: (731) 989-9899 | Randle S Miskelly, APN 1306 Us Highway 45 N, Henderson, TN 38340-4003 Ph: (731) 989-9899 |
Mr. Paul Mcdonald, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Henderson, TN 38340 Phone: 731-616-5175 | |
Linda Nicole Crozier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541 W Park Pl, Henderson, TN 38340 Phone: 731-989-1007 Fax: 731-989-0704 | |
Mrs. Cara Rust Roberson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1314 Us Highway 45 N Ste A, Henderson, TN 38340 Phone: 731-989-0001 | |
Jessica Leigh Reese, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1306 Us Highway 45 N, Henderson, TN 38340 Phone: 731-989-9899 Fax: 731-989-3495 | |
Amanda L Hearn, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1132 Industrial Dr, Henderson, TN 38340 Phone: 731-983-3175 Fax: 731-983-3356 | |
Mrs. Sarah Renee Pierce, AGACNP-BC, CCRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Front St, Henderson, TN 38340 Phone: 731-989-2829 Fax: 731-520-0230 |