| Tennessee Home Based Primary Care Pc | |
|
750 Old Hickory Blvd Ste 264 Brentwood TN 37027-4528 | |
| (502) 630-7425 | |
| Not Available |
| Full Name | Tennessee Home Based Primary Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Old Hickory Blvd Ste 264, Brentwood, Tennessee |
| Authorized Official Name and Position | Angie Mattingly (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 5026307425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Home Based Primary Care Pc 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: () - | Tennessee Home Based Primary Care Pc 750 Old Hickory Blvd Ste 264 Brentwood TN 37027-4528 Ph: (502) 630-7425 |
| NPI Number | 1720744345 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Medicare PECOS PAC ID | 2860884137 |
|---|---|
| Medicare Enrollment ID | O20220118001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720744345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Melinda L Phillips-freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538296496 PECOS PAC ID: 7517059744 Enrollment ID: I20070817000420 |
| Provider Name | Robert Guy Ferland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447256490 PECOS PAC ID: 5597847491 Enrollment ID: I20080131000164 |
| Provider Name | Miranda Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376662833 PECOS PAC ID: 8325194590 Enrollment ID: I20190215002062 |
| Provider Name | Connie J Fogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467894584 PECOS PAC ID: 7113248444 Enrollment ID: I20190305002637 |
| Provider Name | Jamison Beth Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093327066 PECOS PAC ID: 3870903867 Enrollment ID: I20201103000635 |
| Provider Name | Bailey Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427639731 PECOS PAC ID: 2062814593 Enrollment ID: I20210707001057 |
| Provider Name | Kathryn Kendall Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053932830 PECOS PAC ID: 0143694232 Enrollment ID: I20230313000036 |
| Provider Name | Omar Ramos Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922594167 PECOS PAC ID: 9638427396 Enrollment ID: I20231103002641 |
Bill G. Sekulovski, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Eastpark Dr, Suite 102, Brentwood, TN 37027 Phone: 615-373-5700 | |
Monogram Health Professional Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5410 Maryland Way Ste 301, Brentwood, TN 37027 Phone: 615-673-4455 | |
Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5410 Maryland Way Ste 300, Brentwood, TN 37027 Phone: 615-377-5658 | |
Vanguard Crewcare Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Maryland Way Ste 200, Brentwood, TN 37027 Phone: 615-577-4927 | |
Bluesky Housecalls, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Westpark Dr, Brentwood, TN 37027 Phone: 615-340-6840 Fax: 615-600-4804 | |
Brentwood Family Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5046 Thoroughbred Ln, Brentwood, TN 37027 Phone: 615-370-8080 Fax: 615-371-8906 | |
Elite Physicians Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9005 Overlook Blvd, Brentwood, TN 37027 Phone: 615-873-2975 Fax: 615-873-2975 |