| Deborah Verbeek | |
|
25495 Main St Ardmore TN 38449-3129 | |
| (931) 427-6969 | |
| (931) 427-6967 |
| Full Name | Deborah Verbeek |
|---|---|
| Speciality | Family Medicine |
| Location | 25495 Main St, Ardmore, Tennessee |
| Authorized Official Name and Position | Deborah R Verbeek (OWNER) |
| Authorized Official Contact | 9314276969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Verbeek 25495 Main St Ardmore TN 38449-3129 Ph: (931) 427-6969 | Deborah Verbeek 25495 Main St Ardmore TN 38449-3129 Ph: (931) 427-6969 |
| NPI Number | 1194835645 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/09/2010 |
| Medicare PECOS PAC ID | 7012949746 |
|---|---|
| Medicare Enrollment ID | O20090814000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194835645 | NPI | - | NPPES |
| 529905610 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Deborah R Verbeek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194706937 PECOS PAC ID: 7911939640 Enrollment ID: I20090814000465 |
| Provider Name | Kim E Goldinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982910758 PECOS PAC ID: 8729277025 Enrollment ID: I20110118000448 |
| Provider Name | Kenneth J Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205954799 PECOS PAC ID: 1557395589 Enrollment ID: I20131120001319 |
| Provider Name | Holly Clem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780008391 PECOS PAC ID: 4688806987 Enrollment ID: I20140421002040 |
| Provider Name | Tiffany L Forst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356859391 PECOS PAC ID: 4688922974 Enrollment ID: I20180802001614 |
| Provider Name | Leslie Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235557885 PECOS PAC ID: 7416171764 Enrollment ID: I20210317000559 |
Amg-hillside Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26032 Main St, Ardmore, TN 38449 Phone: 931-427-3020 Fax: 931-427-3033 | |
Elkton Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1446 Bryson Rd, Ardmore, TN 38449 Phone: 931-468-2102 Fax: 931-468-2103 |