Lana Marie Elliott, | |
2552 Bancroft Rd, Mc Donald, TN 37353-5315 | |
(423) 315-1603 | |
Not Available |
Full Name | Lana Marie Elliott |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2552 Bancroft Rd, Mc Donald, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255856480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN0000181921 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN0000022714 (Tennessee) | Primary |
Entity Name | Cleveland Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457350951 PECOS PAC ID: 0446164404 Enrollment ID: O20040827000734 |
Entity Name | Diagnostic Cardiology Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437148152 PECOS PAC ID: 1052387495 Enrollment ID: O20040907001032 |
Entity Name | Bradley Polk Walk In Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770929333 PECOS PAC ID: 0547404931 Enrollment ID: O20130925000716 |
Mailing Address | Practice Location Address |
---|---|
Lana Marie Elliott, 2552 Bancroft Rd, Mc Donald, TN 37353-5315 Ph: (423) 315-1603 | Lana Marie Elliott, 2552 Bancroft Rd, Mc Donald, TN 37353-5315 Ph: (423) 315-1603 |
Chad Harlin, GNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S Mcdonald Rd Sw, Mc Donald, TN 37353 Phone: 423-645-2481 | |
Briana Abigail Mariah Keizer, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6052 Ridgeline Trl, Mc Donald, TN 37353 Phone: 423-290-8184 | |
Edward Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1153 Candies Creek Rd, Mc Donald, TN 37353 Phone: 423-473-1951 |