| 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 | 7 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 | 43 |
| Entity Name | Behavioral Healthcare Center at Martin, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144324831 PECOS PAC ID: 5698721462 Enrollment ID: O20070830000858 |
| 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 |
| Entity Name | Behavioral Healthcare Center at Clarksville, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346570777 PECOS PAC ID: 6305972639 Enrollment ID: O20210112001305 |
| 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 |
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 |