Celesta V Kirk, FNP | |
1497 W Elk Ave, Suite 11, Elizabethton, TN 37643-2895 | |
(423) 542-8929 | |
(423) 542-8621 |
Full Name | Celesta V Kirk |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1497 W Elk Ave, Elizabethton, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912963026 | NPI | - | NPPES |
1507262 | Medicaid | TN | |
P01227719 | Other | VA | RAILROAD MEDICARE |
1912963026 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN05038 (Tennessee) | Primary |
363LF0000X | Nurse Practitioner - Family | 0024169706 (Virginia) | Secondary |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Celesta V Kirk, FNP 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643-2895 Ph: (423) 542-8929 | Celesta V Kirk, FNP 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643-2895 Ph: (423) 542-8929 |
Nikki Faye Roberts, MSN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 426 E G St, Elizabethton, TN 37643 Phone: 423-547-5950 Fax: 423-467-3644 | |
Teresa L Payne, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Rogosin Dr, Elizabethton, TN 37643 Phone: 423-433-6630 Fax: 423-232-8574 | |
Mrs. Beverly Ann Bradshaw, APRN BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2521 Beechwood Dr, Elizabethton, TN 37643 Phone: 423-543-7919 Fax: 423-543-5323 | |
Mr. Kermit L. Dugger, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643 Phone: 423-542-8929 Fax: 423-542-8621 | |
Mrs. Ashley Danielle Bowman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 171 Clay Little Rd, Elizabethton, TN 37643 Phone: 423-647-0404 | |
Kristin A Patchell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 S Riverside Dr, Elizabethton, TN 37643 Phone: 859-640-9922 | |
Mrs. Tiffany Charlotte Jenkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643 Phone: 423-542-7420 Fax: 423-542-7425 |