| Promed Preferred TN, PC | |
|
1900 Church St Ste 300 Nashville TN 37203-2285 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred TN, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 Church St Ste 300, Nashville, Tennessee |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred TN, PC 329 S Oyster Bay Rd # 2059 Plainview NY 11803-3301 | Promed Preferred TN, PC 1900 Church St Ste 300 Nashville TN 37203-2285 Ph: (615) 499-3165 |
| NPI Number | 1700778347 |
|---|---|
| Provider Enumeration Date | 07/17/2025 |
| Last Update Date | 10/17/2025 |
| Certification Date | 10/17/2025 |
| Medicare PECOS PAC ID | 0042717175 |
|---|---|
| Medicare Enrollment ID | O20251007001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700778347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Jesseca Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487540092 PECOS PAC ID: 8628575784 Enrollment ID: I20251007001817 |
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