Barry T Dority, | |
450 Northcrest Dr, Springfield, TN 37172-3972 | |
(615) 384-1571 | |
Not Available |
Full Name | Barry T Dority |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 450 Northcrest Dr, Springfield, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215133400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 12120 (Tennessee) | Primary |
Entity Name | Impact Healthcare, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487185153 PECOS PAC ID: 5991065427 Enrollment ID: O20180201001424 |
Mailing Address | Practice Location Address |
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Barry T Dority, 3125 Sandy Springs Rd, Pleasant View, TN 37146-2812 Ph: (615) 384-1571 | Barry T Dority, 450 Northcrest Dr, Springfield, TN 37172-3972 Ph: (615) 384-1571 |
Michelle Marie Breedlove, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411 | |
Jessica Megan Stewart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5991 Highway 161, Springfield, TN 37172 Phone: 615-533-8919 | |
Johna Wix, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Memorial Blvd, Springfield, TN 37172 Phone: 615-384-8481 | |
Robyn Carmody, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2308a Memorial Blvd, Springfield, TN 37172 Phone: 615-384-3833 Fax: 615-384-3287 | |
Cierra Kimbrough, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 903 Memorial Blvd, Springfield, TN 37172 Phone: 615-384-8481 | |
Mrs. Amanda L Lail, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16791 Highway 76 E, Springfield, TN 37172 Phone: 828-238-7224 | |
Mrs. Amanda Kay Hardy, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Memorial Blvd # Tn002, Springfield, TN 37172 Phone: 615-969-1228 |