Sr Medical Services, Llc | |
138 Herron Ln Caryville TN 37714-3258 | |
(423) 562-8339 | |
(423) 562-8339 |
Full Name | Sr Medical Services, Llc |
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Speciality | Internal Medicine |
Location | 138 Herron Ln, Caryville, Tennessee |
Authorized Official Name and Position | Connie Jobe (MANAGER) |
Authorized Official Contact | 4235628339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sr Medical Services, Llc Po Box 43 Caryville TN 37714-0043 Ph: (423) 562-8339 | Sr Medical Services, Llc 138 Herron Ln Caryville TN 37714-3258 Ph: (423) 562-8339 |
NPI Number | 1679718662 |
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Provider Enumeration Date | 12/05/2008 |
Last Update Date | 02/24/2009 |
Medicare PECOS PAC ID | 6608931498 |
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Medicare Enrollment ID | O20090211000156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679718662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD42643 (Tennessee) | Primary |
Provider Name | Susan A Reyes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902834203 PECOS PAC ID: 3375446107 Enrollment ID: I20070817000045 |
Provider Name | Tracy L Stratton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043532419 PECOS PAC ID: 5496882300 Enrollment ID: I20100426000285 |
Provider Name | Norma Jean Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598784191 PECOS PAC ID: 0840314704 Enrollment ID: I20100830000081 |
Provider Name | Kellie L Mathewson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780983841 PECOS PAC ID: 7315121225 Enrollment ID: I20110418000258 |
Provider Name | Joanna G Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013353176 PECOS PAC ID: 1658514500 Enrollment ID: I20130826000560 |
Provider Name | Heather Lei Hamstra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760824007 PECOS PAC ID: 0840433520 Enrollment ID: I20130828000294 |
Provider Name | Shelly R Shempert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902218985 PECOS PAC ID: 6800018631 Enrollment ID: I20141112000820 |
Provider Name | Miranda Day |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124560487 PECOS PAC ID: 7416239215 Enrollment ID: I20170130002708 |
Provider Name | Jonni R Wood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447769062 PECOS PAC ID: 1557625597 Enrollment ID: I20180428000026 |
Provider Name | Kelly Huynh Vo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275019606 PECOS PAC ID: 1254683972 Enrollment ID: I20181008003489 |
Provider Name | Sarah E Lawson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700338100 PECOS PAC ID: 1658624457 Enrollment ID: I20181024002260 |
Provider Name | Ann Marie Bacher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952865842 PECOS PAC ID: 0547596322 Enrollment ID: I20190731004055 |
Provider Name | Christina L Brandon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184269375 PECOS PAC ID: 0446688519 Enrollment ID: I20200324001481 |
Provider Name | Carson Frasure |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215542931 PECOS PAC ID: 8022429281 Enrollment ID: I20201119003334 |
Provider Name | Colleen Michelle Clark Laing |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912525049 PECOS PAC ID: 3476952292 Enrollment ID: I20210527003029 |
Provider Name | Seth Alvin Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770165649 PECOS PAC ID: 9931509858 Enrollment ID: I20210615001948 |
Provider Name | Lancia Dawn Carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538754304 PECOS PAC ID: 3375948284 Enrollment ID: I20210816001750 |
Tennova Primary Care Caryville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 John Mcghee Blvd, Caryville, TN 37714 Phone: 865-647-3230 Fax: 423-566-6871 |