| Diverse Medical Management, Inc. | |
|
82 Beckridge Rd Mcminnville TN 37110-5006 | |
| (931) 409-4350 | |
| Not Available |
| Full Name | Diverse Medical Management, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 82 Beckridge Rd, Mcminnville, Tennessee |
| Authorized Official Name and Position | Natalie Frey (AUTHORIZED REP/OFFICE MANAGER) |
| Authorized Official Contact | 9318158525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Medical Management, Inc. 82 Beckridge Rd Mcminnville TN 37110-5006 Ph: (931) 409-4350 | Diverse Medical Management, Inc. 82 Beckridge Rd Mcminnville TN 37110-5006 Ph: (931) 409-4350 |
| NPI Number | 1235548504 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 5395965024 |
|---|---|
| Medicare Enrollment ID | O20180215002874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235548504 | NPI | - | NPPES |
| Q007193 | Medicaid | TN | |
| 207575 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 4633 (Tennessee) | Primary |
| Provider Name | Debra Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689785214 PECOS PAC ID: 0244366342 Enrollment ID: I20100329000209 |
| Provider Name | Mohannad F Azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013141951 PECOS PAC ID: 7911167564 Enrollment ID: I20120320000261 |
| Provider Name | Dorothy Lavender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033563648 PECOS PAC ID: 1153617626 Enrollment ID: I20180129001309 |
| Provider Name | Sharon Ann Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881046647 PECOS PAC ID: 0749539039 Enrollment ID: I20180820002653 |
Inner Light Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2906 Bybee Branch Rd, Mcminnville, TN 37110 Phone: 931-306-6116 | |
Blooming Minds Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1714 Smithville Hwy, Mcminnville, TN 37110 Phone: 931-386-6300 Fax: 931-386-6301 | |
Willa Tree Connections, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Center St Ste B, Mcminnville, TN 37110 Phone: 931-208-2910 | |
Family Care Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 Oak Park, Mcminnville, TN 37110 Phone: 931-474-4700 Fax: 931-474-4701 | |
Family Care Clinic Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 306 N Chancery St, Mcminnville, TN 37110 Phone: 931-474-4700 Fax: 931-474-4701 | |
River Park Hospital Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1559 Sparta St, Mcminnville, TN 37110 Phone: 931-815-4000 Fax: 931-815-4710 |