Clint W Selvage, FNP | |
2401 Decherd Blvd, Winchester, TN 37398-1164 | |
(931) 313-1388 | |
Not Available |
Full Name | Clint W Selvage |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2401 Decherd Blvd, Winchester, 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 |
---|---|---|---|
1275097503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 25420 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Manchester Care Clinic Llc | 2769887108 | 2 |
Entity Name | Advanced Diagnostic Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Manchester Care Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770154429 PECOS PAC ID: 2769887108 Enrollment ID: O20210823001726 |
Mailing Address | Practice Location Address |
---|---|
Clint W Selvage, FNP 2707 Sixteenth Model Rd, Manchester, TN 37355-4858 Ph: (931) 570-0234 | Clint W Selvage, FNP 2401 Decherd Blvd, Winchester, TN 37398-1164 Ph: (931) 313-1388 |
Sherry Barstad, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 568 Hospital Rd, Winchester, TN 37398 Phone: 931-962-3199 | |
Lisa Renee Stone, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Decherd Blvd, Winchester, TN 37398 Phone: 931-313-1388 Fax: 931-313-1392 | |
Kay Fearing, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2118 Cowan Hwy, Winchester, TN 37398 Phone: 931-962-4040 | |
Erica Edwards, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 83 Memorial Dr, Winchester, TN 37398 Phone: 931-967-3966 | |
Hailey Puckett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Hospital Rd Ste C, Winchester, TN 37398 Phone: 931-967-8258 | |
Mrs. Brandy Denise Ballard, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 3rd Ave Se, Winchester, TN 37398 Phone: 931-392-4749 Fax: 931-967-0284 | |
Dr. Bethany Robinson, DNP, PMHNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave Sw Ste 202e, Winchester, TN 37398 Phone: 256-929-6188 Fax: 256-918-3555 |