| Tia Criscoe, | |
|
410 W Crawford Ave, Monterey, TN 38574-1122 | |
| (931) 839-2244 | |
| Not Available |
| Full Name | Tia Criscoe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 410 W Crawford Ave, Monterey, 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 |
|---|---|---|---|
| 1184959066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC1500X | Registered Nurse - Community Health | 170981 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26656 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shc Medical Partners Of Tennessee, Llc | 1951487826 | 18 |
| Abode Care Partners Ltc Vb Llc | 8325316516 | 82 |
| Entity Name | Shc Medical Partners Of Tennessee, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609051895 PECOS PAC ID: 1951487826 Enrollment ID: O20080318000852 |
| Entity Name | Cogent Healthcare Of Tennessee, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952654246 PECOS PAC ID: 8628221165 Enrollment ID: O20130110000564 |
| Entity Name | Abode Care Partners Ltc Vb, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972372225 PECOS PAC ID: 8325316516 Enrollment ID: O20240129001302 |
| Mailing Address | Practice Location Address |
|---|---|
| Tia Criscoe, 410 W Crawford Ave, Monterey, TN 38574-1122 Ph: (931) 839-2244 | Tia Criscoe, 410 W Crawford Ave, Monterey, TN 38574-1122 Ph: (931) 839-2244 |
Michael A Rawdon, FNP MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Crawford Ave, Monterey, TN 38574 Phone: 931-839-2224 Fax: 931-839-2530 | |
Heather H Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Commercial Ave, Monterey, TN 38574 Phone: 931-839-2244 Fax: 757-695-3421 | |
Tabatha Mechelle Dillon, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 W Crawford Ave, Monterey, TN 38574 Phone: 931-839-2244 Fax: 931-839-3047 | |
Brenda Lee Mcintosh, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 W Commercial Ave, Monterey, TN 38574 Phone: 931-839-6642 Fax: 931-839-6643 | |
Sarah Beaty, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Crawford Ave Ste C, Monterey, TN 38574 Phone: 931-839-2224 Fax: 931-839-2530 | |
Ms. Ree Rene Smith, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 East Commercial Avenue, Monterey, TN 38574 Phone: 931-229-0552 Fax: 931-754-1180 | |
Mrs. Alisha N Masters, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 117 W Commercial Ave, Monterey, TN 38574 Phone: 931-310-2900 Fax: 972-947-5164 |