Corey E Payne, FNP | |
389 Forge Ridge Rd, Harrogate, TN 37752-7730 | |
(423) 869-5893 | |
(423) 869-3574 |
Full Name | Corey E Payne |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 389 Forge Ridge Rd, Harrogate, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295167351 | NPI | - | NPPES |
6015620 | Other | TN | BCBS |
7100320540 | Medicaid | KY | |
P01356284 | Other | TN | MEDICARE RR |
Q006164 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 17687 (Tennessee) | Primary |
363LF0000X | Nurse Practitioner - Family | 3009879 (Kentucky) | Secondary |
Entity Name | Tennessee Cancer Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841228871 PECOS PAC ID: 1658358171 Enrollment ID: O20040702000160 |
Entity Name | National Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780112805 PECOS PAC ID: 1355613803 Enrollment ID: O20170818001400 |
Mailing Address | Practice Location Address |
---|---|
Corey E Payne, FNP Po Box 10988, Knoxville, TN 37939-0988 Ph: (865) 862-0998 | Corey E Payne, FNP 389 Forge Ridge Rd, Harrogate, TN 37752-7730 Ph: (423) 869-5893 |
Amanda G Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6976 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3332 Fax: 423-869-3332 | |
Pamela Deann Bays, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 Westmoreland St, Harrogate, TN 37752 Phone: 423-869-3700 | |
Malinda Kaye Munsey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6650 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-441-8011 Fax: 423-441-8014 | |
Tracie Herrell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 159 Piccadilly Ave, Harrogate, TN 37752 Phone: 865-368-8602 | |
Emily Charles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 163 Beech St, Harrogate, TN 37752 Phone: 865-392-3400 Fax: 865-392-3449 | |
Mrs. Sherri J Robertson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6650 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 865-585-2452 |