| Mancuso Md Pc | |
|
210 Athens Way Ste 200 Nashville TN 37228-1308 | |
| (615) 270-3505 | |
| Not Available |
| Full Name | Mancuso Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Athens Way Ste 200, Nashville, Tennessee |
| Authorized Official Name and Position | Scott Mancuso (OWNER) |
| Authorized Official Contact | 6023177744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mancuso Md Pc 210 Athens Way Ste 200 Nashville TN 37228-1308 Ph: () - | Mancuso Md Pc 210 Athens Way Ste 200 Nashville TN 37228-1308 Ph: (615) 270-3505 |
| NPI Number | 1932800927 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 8022476647 |
|---|---|
| Medicare Enrollment ID | O20230614000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932800927 | NPI | - | NPPES |
| Provider Name | Melanie Teruel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083126726 PECOS PAC ID: 5092187872 Enrollment ID: I20230203000599 |
| Provider Name | Adriana Paula Misuraca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568976199 PECOS PAC ID: 3072872340 Enrollment ID: I20230609002194 |
| Provider Name | Lynn Hoerres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689226508 PECOS PAC ID: 4880002294 Enrollment ID: I20231102002289 |
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