| Terrye Mastin, APRN,BC | |
|
5625 Poplar Ave, Memphis, TN 38119-3816 | |
| (901) 761-1220 | |
| (901) 763-4332 |
| Full Name | Terrye Mastin |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Adult Health |
| Location | 5625 Poplar Ave, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730110693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | TN6208 (Tennessee) | Primary |
| 207K00000X | Allergy & Immunology | APN6208 (Tennessee) | Secondary |
| Entity Name | Shea Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568427128 PECOS PAC ID: 3971525635 Enrollment ID: O20090429000705 |
| Entity Name | Midsouth Independent Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861009326 PECOS PAC ID: 2668886722 Enrollment ID: O20210201001564 |
| Entity Name | Honeycomb Medical Group PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548971450 PECOS PAC ID: 2668837204 Enrollment ID: O20230505001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Terrye Mastin, APRN,BC 5625 Poplar Ave, Memphis, TN 38119-3816 Ph: (901) 761-1220 | Terrye Mastin, APRN,BC 5625 Poplar Ave, Memphis, TN 38119-3816 Ph: (901) 761-1220 |
James Michael Burgess, DNP, MBA, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300 |
Mrs. Loretta W Dandridge, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 360 E Eh Crump Blvd, Memphis, TN 38126 Phone: 901-261-2046 Fax: 901-946-9262 |
Anita Waid, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 |
Mrs. Nila Jean Lawson, ANP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 200 Hudson, Memphis, TN 38152 Phone: 901-678-3128 Fax: 901-678-3124 |
Karen Y Wilson, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1505 N 2nd St, Memphis, TN 38107 Phone: 901-791-0600 |
Sophia Bonnetia Chandler, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 |
Javita Glasper, PMHNP-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1087 Alice Ave, Memphis, TN 38106 Phone: 901-821-5841 |