Stacy Wason-fawver, NP | |
10731 Chapman Hwy, Seymour, TN 37865-4765 | |
(865) 573-0698 | |
(865) 573-3174 |
Full Name | Stacy Wason-fawver |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 10731 Chapman Hwy, Seymour, 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 |
---|---|---|---|
1194143347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 18632 (Tennessee) | Primary |
163W00000X | Registered Nurse | RN149401 (Tennessee) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Copilotiq Pc | 7810392040 | 10 |
Copilotiq Pc | 7810392040 | 10 |
Entity Name | Cherokee Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Integrated Rehab Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20200527003425 |
Entity Name | Copilotiq Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316527203 PECOS PAC ID: 7810392040 Enrollment ID: O20210825002791 |
Mailing Address | Practice Location Address |
---|---|
Stacy Wason-fawver, NP 6350 W Andrew Johnson Hwy, Department 100, Talbott, TN 37877-8605 Ph: (800) 355-3565 | Stacy Wason-fawver, NP 10731 Chapman Hwy, Seymour, TN 37865-4765 Ph: (865) 573-0698 |
Kristi Michelle Rutherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Phoenix Ct Ste 1, Seymour, TN 37865 Phone: 865-577-6475 Fax: 865-577-7942 | |
Laura Contri, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174 | |
Brittany R. Simpson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10626 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-5231 Fax: 865-577-1539 | |
Mrs. Amber Gaskins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11657 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-4836 | |
Wendy Wimbrow Laforest, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10626 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-5231 Fax: 865-577-1539 | |
Ewelina K Freudenberger, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174 |