Mary Rebecca Wall, FNP-C | |
136 S Wilson St, Dresden, TN 38225-1133 | |
(731) 364-4900 | |
(731) 352-4459 |
Full Name | Mary Rebecca Wall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 136 S Wilson St, Dresden, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134689920 | NPI | - | NPPES |
3380640 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APN0000025488 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN0000025488 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital - Carroll County | Huntingdon, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mckenzie Medical Center Pc | 2365427853 | 25 |
Entity Name | Emergency Coverage Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20040220000755 |
Entity Name | Mckenzie Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
Entity Name | Eagle Creek Emergency Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134627557 PECOS PAC ID: 2466714571 Enrollment ID: O20180329000029 |
Mailing Address | Practice Location Address |
---|---|
Mary Rebecca Wall, FNP-C 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 Ph: (731) 352-7907 | Mary Rebecca Wall, FNP-C 136 S Wilson St, Dresden, TN 38225-1133 Ph: (731) 364-4900 |
Phyllis Ann Taylor, APNC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-364-5675 Fax: 731-364-2870 | |
Mrs. Mallory Pate, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8633 Highway 22, Dresden, TN 38225 Phone: 731-364-5613 | |
Leslie Finch, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-364-5675 | |
Kelly Smith Barnes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 E Locust St, Dresden, TN 38225 Phone: 731-364-5613 Fax: 731-364-5359 | |
Tracie D. Rogers, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-341-0009 | |
Erin Nicole Legens, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 S Wilson St, Dresden, TN 38225 Phone: 731-364-4900 Fax: 731-352-4459 |