Joshua C Blair, NP | |
315 Grady Rd, Etowah, TN 37331-1903 | |
(423) 263-5400 | |
(423) 263-0674 |
Full Name | Joshua C Blair |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 315 Grady Rd, Etowah, 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 |
---|---|---|---|
1669893566 | NPI | - | NPPES |
Q003425 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 18159 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
Entity Name | Ken Kozawa I Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865445 PECOS PAC ID: 0941218267 Enrollment ID: O20060329000079 |
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 |
Mailing Address | Practice Location Address |
---|---|
Joshua C Blair, NP Po Box 842, Etowah, TN 37331-0842 Ph: (423) 263-5400 | Joshua C Blair, NP 315 Grady Rd, Etowah, TN 37331-1903 Ph: (423) 263-5400 |
Beckey Buck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 886 Highway 411 N, Etowah, TN 37331 Phone: 615-673-6737 Fax: 800-474-4039 | |
Connie Elaine Allman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2235 Highway 411 N, Etowah, TN 37331 Phone: 423-263-6208 Fax: 423-263-6202 | |
Ms. Donna Cheryll Valadez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 N Tennessee Ave, Etowah, TN 37331 Phone: 423-263-2100 Fax: 423-781-7662 | |
Alicia Fulbright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Grady Rd Ste B, Etowah, TN 37331 Phone: 423-263-0722 |