Carebridge Medical Group | |
926 Main St Nashville TN 37206-3614 | |
(615) 436-9060 | |
(615) 235-9725 |
Full Name | Carebridge Medical Group |
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Speciality | Family Medicine |
Location | 926 Main St, Nashville, Tennessee |
Authorized Official Name and Position | Melinda Henderson (CMO) |
Authorized Official Contact | 6155851181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carebridge Medical Group 926 Main St Nashville TN 37206-3614 Ph: (615) 436-9060 | Carebridge Medical Group 926 Main St Nashville TN 37206-3614 Ph: (615) 436-9060 |
NPI Number | 1124656616 |
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Provider Enumeration Date | 03/30/2020 |
Last Update Date | 05/03/2024 |
Certification Date | 05/03/2024 |
Medicare PECOS PAC ID | 0648609867 |
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Medicare Enrollment ID | O20200408004162 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124656616 | NPI | - | NPPES |
Q056232 | Medicaid | TN | |
157006 | Medicaid | AZ | |
108794900 | Medicaid | FL | |
1124656616 | Medicaid | MN | |
1124656616 | Medicaid | VA | |
201337990A | Medicaid | KS | |
422490901 | Medicaid | TN | |
0131687 | Medicaid | IA |
Provider Name | Melinda Shaw Henderson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013966423 PECOS PAC ID: 1759333974 Enrollment ID: I20050216000472 |
Provider Name | Kami D Carlson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073546974 PECOS PAC ID: 4284668757 Enrollment ID: I20070807000831 |
Provider Name | Lacey M Bolden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740410703 PECOS PAC ID: 9931253770 Enrollment ID: I20090813000511 |
Provider Name | Kenzie R Lovingood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790016715 PECOS PAC ID: 4385898873 Enrollment ID: I20130211000073 |
Provider Name | Leanne S Balmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629335120 PECOS PAC ID: 9436460474 Enrollment ID: I20150618000106 |
Provider Name | Miranda Huffman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376662833 PECOS PAC ID: 8325194590 Enrollment ID: I20190215002062 |
Provider Name | Megan Freeman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811345341 PECOS PAC ID: 6901192327 Enrollment ID: I20210715000010 |
Provider Name | Isabella Bohorquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841761830 PECOS PAC ID: 3870831126 Enrollment ID: I20230206001904 |
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