| Advanced Neurology Of Cookeville Pllc | |
|
335 Newman Dr Ste B Cookeville TN 38501-4395 | |
| (931) 651-2066 | |
| (931) 651-2069 |
| Full Name | Advanced Neurology Of Cookeville Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 335 Newman Dr Ste B, Cookeville, Tennessee |
| Authorized Official Name and Position | Teresa J Dinwiddie (OFFICE MANAGER) |
| Authorized Official Contact | 9312129935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurology Of Cookeville Pllc 335 Newman Dr Ste B Cookeville TN 38501-4395 Ph: (931) 651-2066 | Advanced Neurology Of Cookeville Pllc 335 Newman Dr Ste B Cookeville TN 38501-4395 Ph: (931) 651-2066 |
| NPI Number | 1932846581 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/30/2022 |
| Certification Date | 05/30/2022 |
| Medicare PECOS PAC ID | 6901288760 |
|---|---|
| Medicare Enrollment ID | O20220727000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932846581 | NPI | - | NPPES |
| Q073969 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sadik Yesil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760471817 PECOS PAC ID: 2860465465 Enrollment ID: I20040812001268 |
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