| Brandon Robert Mcnickle, PA-C | |
|
201 Bluebird Dr, Goodlettsville, TN 37072-2301 | |
| (615) 859-7546 | |
| Not Available |
| Full Name | Brandon Robert Mcnickle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 201 Bluebird Dr, Goodlettsville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053789719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Skin Surgery And Dermatology | 0941391338 | 53 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Robert Mcnickle, PA-C 820 Springer Dr, Lombard, IL 60148-6413 Ph: (815) 744-8554 | Brandon Robert Mcnickle, PA-C 201 Bluebird Dr, Goodlettsville, TN 37072-2301 Ph: (615) 859-7546 |
Molly Kathleen Kroeger, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Professional Park Dr, Goodlettsville, TN 37072 Phone: 615-859-1440 | |
Isaac Hughes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5397 Lickton Pike, Goodlettsville, TN 37072 Phone: 859-699-2020 | |
Iwaz M Barwari, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Rivergate Pkwy, Goodlettsville, TN 37072 Phone: 615-859-3937 Fax: 615-859-3919 | |
Kristen Grace Kaser, Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Windsor Green Ct Ste 101, Goodlettsville, TN 37072 Phone: 615-859-8488 Fax: 615-859-8696 | |
Stephanie A Passons, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Professional Park Dr, Suite C, Goodlettsville, TN 37072 Phone: 615-859-1440 Fax: 615-859-0145 | |
Mrs. Alexis Keen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 Bluebird Dr, Goodlettsville, TN 37072 Phone: 615-859-7546 Fax: 615-851-7760 |