Tabitha Anne Casilli, MD | |
920 S Hartmann Dr Ste 200, Lebanon, TN 37090-4137 | |
(629) 255-2024 | |
(629) 255-4215 |
Full Name | Tabitha Anne Casilli |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 920 S Hartmann Dr Ste 200, Lebanon, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346568953 | NPI | - | NPPES |
1531699 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 49581 (Tennessee) | Primary |
Entity Name | Heritage Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548284060 PECOS PAC ID: 4688651037 Enrollment ID: O20040702000463 |
Mailing Address | Practice Location Address |
---|---|
Tabitha Anne Casilli, MD 222 22nd Ave N, Nashville, TN 37203-1870 Ph: (629) 255-3486 | Tabitha Anne Casilli, MD 920 S Hartmann Dr Ste 200, Lebanon, TN 37090-4137 Ph: (629) 255-2024 |
Dr. Tara Newton, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 404 N Castle Heights Ave Ste F, Lebanon, TN 37087 Phone: 615-784-4140 Fax: 615-784-4139 | |
Dr. Stephen Harmon Claycomb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-9492 Fax: 615-453-9498 | |
Dr. Charles Andrew Jordan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 | |
Donna Woodall Lett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 S Hartmann Dr Ste 200, Lebanon, TN 37090 Phone: 629-255-2031 Fax: 629-255-4222 | |
Dr. Vernon David Savell Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 832 Pebble Cove Rd, Lebanon, TN 37087 Phone: 615-752-8287 | |
Dr. Yvonne Waclawa Pawlowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 | |
Dr. George William Robertson Ii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 |