| Samantha Jo Ivy, APRN | |
|
9458 Highway 100, Scotts Hill, TN 38374-6443 | |
| (731) 549-2600 | |
| (731) 549-2166 |
| Full Name | Samantha Jo Ivy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9458 Highway 100, Scotts Hill, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992401541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 33365 (Tennessee) | Primary |
| Entity Name | Premier Family Care Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992338644 PECOS PAC ID: 0840629440 Enrollment ID: O20200402001492 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Jo Ivy, APRN 9458 Highway 100, Scotts Hill, TN 38374-6443 Ph: (731) 549-2600 | Samantha Jo Ivy, APRN 9458 Highway 100, Scotts Hill, TN 38374-6443 Ph: (731) 549-2600 |
Linda S Siegl, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 Highway 114 S, Scotts Hill, TN 38374 Phone: 731-549-3191 Fax: 731-549-3005 | |
Amy B Mitchell, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9458 Highway 100, Scotts Hill, TN 38374 Phone: 731-549-2600 Fax: 731-549-2166 | |
Mr. James Witt Delaney, FNP-B.C. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 644 Highway 114 S, Scotts Hill, TN 38374 Phone: 731-847-6396 Fax: 731-847-4511 | |
Penny J Pope, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9458 Highway 100, Scotts Hill, TN 38374 Phone: 731-549-2600 Fax: 731-549-2166 | |
Mrs. Shaunda L. Lewis, A.P.R.N., B.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 Highway 114 S, Scotts Hill, TN 38374 Phone: 731-549-3191 Fax: 731-549-3005 | |
Tad Duane Ward, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Highway 114 S, Scotts Hill, TN 38374 Phone: 731-549-1000 Fax: 731-549-1011 | |
Carol G Burkhead, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 Hwy 114 South, Scotts Hill Clinic, Scotts Hill, TN 38374 Phone: 731-549-3191 Fax: 731-549-3005 |