Omega Pain Management, Pc | |
6348 Lonas Spring Dr Knoxville TN 37909-2719 | |
(865) 337-5137 | |
(888) 839-6922 |
Full Name | Omega Pain Management, Pc |
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Speciality | Psychiatry & Neurology |
Location | 6348 Lonas Spring Dr, Knoxville, Tennessee |
Authorized Official Name and Position | Igor Smelyansky (OWNER) |
Authorized Official Contact | 9175234576 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omega Pain Management, Pc Po Box 32965 Knoxville TN 37930-2965 Ph: (865) 337-5137 | Omega Pain Management, Pc 6348 Lonas Spring Dr Knoxville TN 37909-2719 Ph: (865) 337-5137 |
NPI Number | 1003233743 |
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Provider Enumeration Date | 03/19/2014 |
Last Update Date | 03/08/2022 |
Certification Date | 03/08/2022 |
Medicare PECOS PAC ID | 0749404531 |
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Medicare Enrollment ID | O20140618000420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003233743 | NPI | - | NPPES |
Q007280 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P2900X | Psychiatry & Neurology - Pain Medicine | (Tennessee) | Primary |
Provider Name | Lindsey Erin Dunford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164711271 PECOS PAC ID: 2860678653 Enrollment ID: I20110511000746 |
Provider Name | Igor Smelyansky |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295818409 PECOS PAC ID: 4587659503 Enrollment ID: I20110718000272 |
Provider Name | Staci Diana Dunn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194289835 PECOS PAC ID: 7416298716 Enrollment ID: I20190415002648 |
Provider Name | Jessica M Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770113920 PECOS PAC ID: 2668800376 Enrollment ID: I20210921000594 |
Provider Name | Joy Lynn Hood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134747397 PECOS PAC ID: 1153789888 Enrollment ID: I20230628000123 |
Provider Name | Heather Silcox Porter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245015718 PECOS PAC ID: 8921452467 Enrollment ID: I20231002002408 |
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