Michael W Nelson, MD | |
1323 East Wood Street, Paris, TN 38242-4421 | |
(731) 642-2011 | |
(731) 644-2758 |
Full Name | Michael W Nelson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1323 East Wood Street, Paris, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124112727 | NPI | - | NPPES |
29208 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD21736 (Tennessee) | Primary |
207P00000X | Emergency Medicine | 21736 (Tennessee) | Secondary |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
---|---|
Michael W Nelson, MD 1323 East Wood Street, Paris, TN 38242-4421 Ph: (731) 642-2011 | Michael W Nelson, MD 1323 East Wood Street, Paris, TN 38242-4421 Ph: (731) 642-2011 |
Philip W Nanney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1323 East Wood Street, Paris, TN 38242 Phone: 731-642-2011 Fax: 731-644-2758 | |
Stephanie C. Dunagan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 S Lake St, Paris, TN 38242 Phone: 731-642-3024 Fax: 731-642-3028 | |
Jay N Ramage, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 S Lake St, Paris, TN 38242 Phone: 731-642-3024 Fax: 731-642-3028 | |
Douglas S Summers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1323 East Wood Street, Paris, TN 38242 Phone: 731-642-2011 Fax: 731-644-2758 | |
Bethany Russell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1323 E Wood St, Paris, TN 38242 Phone: 731-642-2011 Fax: 731-644-2758 | |
Hope Dretzka, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 Virginia St, Paris, TN 38242 Phone: 731-642-0521 |