| Stacey Michelin | |
|
2443 Old Russellville Pike Clarksville TN 37040 | |
| (931) 542-9010 | |
| (844) 557-9435 |
| Full Name | Stacey Michelin |
|---|---|
| Speciality | Family Medicine |
| Location | 2443 Old Russellville Pike, Clarksville, Tennessee |
| Authorized Official Name and Position | Stacey Michelin (OFFICE MANAGER) |
| Authorized Official Contact | 8066263760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Michelin 2443 Old Russellville Pike Clarksville TN 37040 Ph: (931) 542-9010 | Stacey Michelin 2443 Old Russellville Pike Clarksville TN 37040 Ph: (931) 542-9010 |
| NPI Number | 1164982443 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 2668706268 |
|---|---|
| Medicare Enrollment ID | O20190702002056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164982443 | NPI | - | NPPES |
| Q044516 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolyn Denise Jackson-gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672299 PECOS PAC ID: 1850552654 Enrollment ID: I20120420000422 |
| Provider Name | Whitney Christine Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679947717 PECOS PAC ID: 3577868009 Enrollment ID: I20160222001892 |
| Provider Name | Stacey A Michelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750873089 PECOS PAC ID: 8123364882 Enrollment ID: I20190116003925 |
| Provider Name | Jenni White Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639634827 PECOS PAC ID: 1759616618 Enrollment ID: I20210621002485 |
| Provider Name | Keyly Mcmahon Knechtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326704305 PECOS PAC ID: 8820489008 Enrollment ID: I20211222002221 |
| Provider Name | Deneshia Shanta Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558081281 PECOS PAC ID: 4486026291 Enrollment ID: I20230203001801 |
| Provider Name | Jamie Lynn Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700585700 PECOS PAC ID: 2961867197 Enrollment ID: I20230424000487 |
Veincare Centers Of Tennessee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Lane, Suite 100, Clarksville, TN 37040 Phone: 931-551-8991 Fax: 931-551-4053 | |
Center For Pulmonary & Sleep Medicine, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 298 Clear Sky Ct, Ste B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648 | |
Hopewell Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Kraft St, Clarksville, TN 37040 Phone: 931-645-7866 Fax: 931-645-7766 | |
Matthew Walker Comprehensive Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Dover Rd, Clarksville, TN 37042 Phone: 931-920-5000 Fax: 615-320-6033 | |
Medical Direct Care, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Hatcher Lane, Suite B, Clarksville, TN 37040 Phone: 931-221-0902 Fax: 931-221-0602 | |
Nebben Physical Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 282 Clear Sky Ct, Clarksville, TN 37043 Phone: 931-647-1199 Fax: 931-647-7010 | |
Stephen A. White, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2289 B Rudolphtown Road, Clarksville, TN 37043 Phone: 931-552-3031 Fax: 931-552-9820 |