| Jay Michael Trussler Do Pc | |
|
585 Interstate Dr Suite B Manchester TN 37355-3191 | |
| (931) 728-9000 | |
| (931) 728-2726 |
| Full Name | Jay Michael Trussler Do Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 585 Interstate Dr, Manchester, Tennessee |
| Authorized Official Name and Position | Brooke Sain (PRACTICE MANAGER) |
| Authorized Official Contact | 9317289000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Michael Trussler Do Pc 585 Interstate Dr Suite B Manchester TN 37355-3191 Ph: (931) 728-9000 | Jay Michael Trussler Do Pc 585 Interstate Dr Suite B Manchester TN 37355-3191 Ph: (931) 728-9000 |
| NPI Number | 1164618229 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 04/28/2022 |
| Medicare PECOS PAC ID | 4880630375 |
|---|---|
| Medicare Enrollment ID | O20050706000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164618229 | NPI | - | NPPES |
| 3730274 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1634 (Tennessee) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Janice M Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639117963 PECOS PAC ID: 2860454766 Enrollment ID: I20041102001158 |
| Provider Name | Jay M Trussler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578590725 PECOS PAC ID: 3870539372 Enrollment ID: I20050713000352 |
| Provider Name | Ronald D Winton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467737528 PECOS PAC ID: 1759540198 Enrollment ID: I20120305000493 |
| Provider Name | Kristen Lovelady Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407275225 PECOS PAC ID: 5799909784 Enrollment ID: I20140613000260 |
| Provider Name | Hanna Suzanne Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689179251 PECOS PAC ID: 7315278579 Enrollment ID: I20191018002717 |
| Provider Name | Melissa Gail Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437732138 PECOS PAC ID: 1052719226 Enrollment ID: I20211004000219 |
| Provider Name | Amy B White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235831553 PECOS PAC ID: 0244473890 Enrollment ID: I20230530002197 |
| Provider Name | Christine Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336821214 PECOS PAC ID: 9638523061 Enrollment ID: I20231003003093 |
Glenn A Davis, Md (rhc) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Mcarthur St, Manchester, TN 37355 Phone: 931-728-2022 Fax: 931-723-1210 | |
Highland Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Mcarthur St Ste B, Manchester, TN 37355 Phone: 931-723-2265 | |
Coffee Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 482 Interstate Dr, Suite A, Manchester, TN 37355 Phone: 931-728-4718 Fax: 931-728-1016 | |
Premise Health Of Tennessee Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Manchester Industrial Parkway, Manchester, TN 37355 Phone: 615-468-3188 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Hillsboro Blvd, Manchester, TN 37355 Phone: 931-253-1110 | |
Coffee Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Mcarthur St, Manchester, TN 37355 Phone: 931-728-3586 Fax: 931-461-2587 |