Melissa Jane Wilson, NP | |
110 Executive Park Dr, Clinton, TN 37716-6876 | |
(865) 494-9241 | |
(865) 374-2121 |
Full Name | Melissa Jane Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 110 Executive Park Dr, Clinton, 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 |
---|---|---|---|
1265941694 | NPI | - | NPPES |
Q044813 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3012980 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 23186 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covenant Medical Group Inc | 2860305463 | 281 |
Entity Name | Summit Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Entity Name | Covenant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
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 | Midwest Home Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760086540 PECOS PAC ID: 0941613426 Enrollment ID: O20210520002878 |
Mailing Address | Practice Location Address |
---|---|
Melissa Jane Wilson, NP 110 Executive Park Dr, Clinton, TN 37716-6876 Ph: (865) 494-9241 | Melissa Jane Wilson, NP 110 Executive Park Dr, Clinton, TN 37716-6876 Ph: (865) 494-9241 |
Kimberly Campbell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-647-3200 Fax: 865-463-3672 | |
Jessica Greenway Dunn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-647-3300 Fax: 865-647-3309 | |
Matthew Vernon Gent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 N Charles G Seivers Blvd, Suite 101, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150 | |
Kristal K Watkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2681 Andersonville Hwy, Clinton, TN 37716 Phone: 865-494-5960 | |
Alison Foister, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-647-3300 Fax: 865-647-3309 | |
Paromita Yunsan, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221a Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-457-4747 Fax: 865-467-4785 |