| Susan R Gasque, CRNP | |
|
14821 Dayton Pike, Ste B, Sale Creek, TN 37373-5752 | |
| (423) 497-5070 | |
| Not Available |
| Full Name | Susan R Gasque |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 14821 Dayton Pike, Sale Creek, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841391869 | NPI | - | NPPES |
| 1326373861 | Other | AL | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1083187 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | 12850 (Tennessee) | Primary |
| Entity Name | Fast Access Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063619997 PECOS PAC ID: 6406942101 Enrollment ID: O20071010000740 |
| Entity Name | Health Providers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316560972 PECOS PAC ID: 9931529948 Enrollment ID: O20201013001855 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan R Gasque, CRNP 30 Burton Hills Blvd, Ste 175, Nashville, TN 37215-6403 Ph: (615) 988-2014 | Susan R Gasque, CRNP 14821 Dayton Pike, Ste B, Sale Creek, TN 37373-5752 Ph: (423) 497-5070 |
Brittany L Cannon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Griffith St, Sale Creek, TN 37373 Phone: 423-332-1813 Fax: 423-648-7542 | |
Mrs. Julie Elizabeth Carr, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike, Suite B, Sale Creek, TN 37373 Phone: 423-486-9455 Fax: 423-486-9458 | |
Tracey Jolene Jenkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike, Sale Creek, TN 37373 Phone: 423-486-9455 | |
Robert Lewis Kite, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14821 Dayton Pike Ste B, Sale Creek, TN 37373 Phone: 423-486-9455 Fax: 423-486-9458 | |
Christa M Byerley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike Ste B, Sale Creek, TN 37373 Phone: 423-486-9455 Fax: 423-486-9458 | |
Mrs. Rachel Clark, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 929 Rocky Top Ln, Sale Creek, TN 37373 Phone: 423-596-9420 |