Selena Renee Pevahouse, | |
110 Miller Drive, Clifton, TN 38425 | |
(731) 607-1007 | |
Not Available |
Full Name | Selena Renee Pevahouse |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 110 Miller Drive, Clifton, 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 |
---|---|---|---|
1063052116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26817 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Truhealth, Llc | 2163653478 | 29 |
Entity Name | Truhealth, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20140331001471 |
Entity Name | Behavioral Healthcare Center At Columbia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891000923 PECOS PAC ID: 8820280696 Enrollment ID: O20210106003115 |
Mailing Address | Practice Location Address |
---|---|
Selena Renee Pevahouse, Po Box 54, Clifton, TN 38425-0054 Ph: (731) 607-1007 | Selena Renee Pevahouse, 110 Miller Drive, Clifton, TN 38425 Ph: (731) 607-1007 |
Mary Sharee Dean, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Forrest Ave, Clifton, TN 38425 Phone: 931-676-3337 | |
Mr. Charles Trevor Brashier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Main Street, Clifton, TN 38425 Phone: 931-676-3160 Fax: 931-676-3161 | |
Susan Kaye Godwin, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Main St, Clifton, TN 38425 Phone: 931-676-3121 Fax: 731-925-2157 |