Tasha Ruffin, | |
215 Highland Circle Dr, Portland, TN 37148-4918 | |
(615) 325-9263 | |
Not Available |
Full Name | Tasha Ruffin |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 215 Highland Circle Dr, Portland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083438568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 37607 (Tennessee) | Primary |
Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
Entity Name | Cs Pacs 3 Southeast Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
Mailing Address | Practice Location Address |
---|---|
Tasha Ruffin, 617 Coles Ferry Rd, Gallatin, TN 37066-6218 Ph: () - | Tasha Ruffin, 215 Highland Circle Dr, Portland, TN 37148-4918 Ph: (615) 325-9263 |
Ms. Brandy Nicole Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Reed St, Portland, TN 37148 Phone: 615-525-8792 | |
Randy Tidwell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 N Broadway, Portland, TN 37148 Phone: 615-323-1020 Fax: 615-323-1021 | |
Lisa Nazarenus, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway, Portland, TN 37148 Phone: 615-325-6755 Fax: 615-325-6936 | |
Madeline Mccleary Gillon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Highland Dr, Portland, TN 37148 Phone: 615-325-9263 | |
Sherelen Hodges, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 Fax: 615-802-1088 | |
Mrs. Kennedy Ellen Eidenire, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 421 N Broadway, Portland, TN 37148 Phone: 615-205-2100 |