| Concertocare Medical Group Of Tennessee, Pc | |
|
3200 W End Ave Ste 500 Nashville TN 37203-1322 | |
| (877) 597-1440 | |
| Not Available |
| Full Name | Concertocare Medical Group Of Tennessee, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3200 W End Ave Ste 500, Nashville, Tennessee |
| Authorized Official Name and Position | Hisham Yousif (OWNER/PRESIDENT) |
| Authorized Official Contact | 4802279166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concertocare Medical Group Of Tennessee, Pc Po Box 801280 Kansas City MO 64180-1280 Ph: (877) 597-1440 | Concertocare Medical Group Of Tennessee, Pc 3200 W End Ave Ste 500 Nashville TN 37203-1322 Ph: (877) 597-1440 |
| NPI Number | 1780423863 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 5496291486 |
|---|---|
| Medicare Enrollment ID | O20240726000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780423863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Ann Flynt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093958563 PECOS PAC ID: 6305995093 Enrollment ID: I20090529000281 |
| Provider Name | Michael Weldon Diana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780001883 PECOS PAC ID: 3173747953 Enrollment ID: I20200831000482 |
| Provider Name | Gabrielle Davidoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730805573 PECOS PAC ID: 3072981034 Enrollment ID: I20221122002362 |
| Provider Name | Hisham Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548623648 PECOS PAC ID: 7517250699 Enrollment ID: I20240726000142 |
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