Amanda Elizabeth Russell, | |
47 Fairway Pl, Selmer, TN 38375-1548 | |
(901) 268-8401 | |
Not Available |
Full Name | Amanda Elizabeth Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 47 Fairway Pl, Selmer, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932879392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | APN0000030233 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Volunteer Homecare Of West Tn | Parsons, TN | Home health agency |
Tennessee Quality Care - Home Health | Parsons, TN | Home health agency |
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Hardin Medical Center | Savannah, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Tennessee Medical Group Inc | 3971781006 | 117 |
Entity Name | West Tennessee Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
Mailing Address | Practice Location Address |
---|---|
Amanda Elizabeth Russell, 47 Fairway Pl, Selmer, TN 38375-1548 Ph: (901) 268-8401 | Amanda Elizabeth Russell, 47 Fairway Pl, Selmer, TN 38375-1548 Ph: (901) 268-8401 |
Matthew King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 641 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-5753 | |
Tiffany B Gray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave Ste B, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 | |
Mr. Kevin Majors, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 714 Federal Dr, Selmer, TN 38375 Phone: 731-645-7952 Fax: 731-645-8898 | |
Lashon Conner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 641 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-5753 Fax: 731-645-9885 | |
Mrs. Ginger Maness, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1021 Mulberry Ave, Selmer, TN 38375 Phone: 731-646-1781 | |
Rhonda L Hunt, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 832 Mulberry Ave, Selmer, TN 38375 Phone: 731-434-0200 Fax: 731-434-0203 | |
Cindy Tubbs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-3474 Fax: 731-645-4530 |