| Thomas Daniel Shirley, | |
|
11546 Chapman Hwy, Seymour, TN 37865-5044 | |
| (865) 578-5080 | |
| Not Available |
| Full Name | Thomas Daniel Shirley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 11546 Chapman Hwy, Seymour, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609218569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17807 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Homecare | Knoxville, TN | Home health agency |
| Leconte Medical Center | Sevierville, TN | Hospital |
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group Inc | 2860305463 | 301 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Daniel Shirley, 117 Vera Ln, Dandridge, TN 37725-6872 Ph: (865) 789-6506 | Thomas Daniel Shirley, 11546 Chapman Hwy, Seymour, TN 37865-5044 Ph: (865) 578-5080 |
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 | |
Kiersten Lee Hanover, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1393 Springview Cir, Seymour, TN 37865 Phone: 865-924-7992 | |
Laura Contri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments 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 | |
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 | |
Brittany Lucas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174 | |
Alexander Vest, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 127 W Macon Ln, Seymour, TN 37865 Phone: 865-268-5009 |