| Dr Robert M North Sr, EDD | |
|
118 Maupin Cir, Shelbyville, TN 37160-3781 | |
| (931) 680-7576 | |
| (931) 536-4346 |
| Full Name | Dr Robert M North Sr |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 46 Years |
| Location | 118 Maupin Cir, Shelbyville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548291370 | NPI | - | NPPES |
| 3683721 | Medicaid | TN | |
| 3683728 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000000878 (Tennessee) | Primary |
| 103TC0700X | Psychologist - Clinical | 1300 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brownsville Medical Clinic, P.a. | 0547339772 | 68 |
| Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 73 |
| Bh Services Southeast 1 Pc | 7012457054 | 68 |
| Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| Entity Name | Geriatric Psychology Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417483421 PECOS PAC ID: 0244506251 Enrollment ID: O20171018003590 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
| Entity Name | Bh Services Southeast 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164251526 PECOS PAC ID: 7012457054 Enrollment ID: O20241023003002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert M North Sr, EDD 118 Maupin Cir, Shelbyville, TN 37160-3781 Ph: (931) 580-8936 | Dr Robert M North Sr, EDD 118 Maupin Cir, Shelbyville, TN 37160-3781 Ph: (931) 680-7576 |
Jeff Daugherty, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Maupin Cir, Shelbyville, TN 37160 Phone: 931-680-7576 Fax: 931-536-4346 | |
Mr. Tim K Mcconkey, M.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 207 N Spring St, Shelbyville, TN 37160 Phone: 931-684-6200 Fax: 931-684-3377 | |
Dr. Raymond R Tesauro, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 Holland St, Shelbyville, TN 37160 Phone: 931-680-4370 Fax: 931-680-4370 | |
Dr. Jacqueline Chapman North, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 118 Maupin Cir, Shelbyville, TN 37160 Phone: 931-680-7576 Fax: 931-536-4346 | |
Glenn Johnson, Psychologist Medicare: Medicare Enrolled Practice Location: 118 Maupin Cir, Shelbyville, TN 37160 Phone: 931-680-7576 Fax: 931-536-4346 |