| Staci T Cownover, PA-C | |
|
76 Capital Way Ste C, Atoka, TN 38004-6866 | |
| (901) 840-1202 | |
| (901) 840-1204 |
| Full Name | Staci T Cownover |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 76 Capital Way Ste C, Atoka, 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 |
|---|---|---|---|
| 1689695595 | NPI | - | NPPES |
| Q003620 | Medicaid | TN | |
| 6007036 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1191 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennessee Quality Care - Home Health | Parsons, TN | Home health agency |
| Beacon Home Health | Memphis, TN | Home health agency |
| Baptist Trinity Homecare & Hospice | Cordova, TN | Home health agency |
| Extendicare Home Health Of West Tn | Dyersburg, TN | Home health agency |
| Methodist Hospitals Of Memphis | Memphis, TN | Hospital |
| Baptist Memorial Hospital Tipton | Covington, TN | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care Group, Llc | 0941480131 | 108 |
| Entity Name | Primary Care Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110204000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci T Cownover, PA-C 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: Not Available | Staci T Cownover, PA-C 76 Capital Way Ste C, Atoka, TN 38004-6866 Ph: (901) 840-1202 |
William G. Curry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11611 Us-51, Atoka, TN 38004 Phone: 901-842-1760 |
Mr. Daniel Allen Crall Sr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11611 Highway 51 S, Atoka, TN 38004 Phone: 901-842-1760 |