Micah Sellew, | |
321 E Central Ave, Jamestown, TN 38556-4103 | |
(931) 879-0206 | |
Not Available |
Full Name | Micah Sellew |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 321 E Central Ave, Jamestown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265997175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 24783 (Tennessee) | Primary |
Entity Name | Fast Pace Medical Clinic Pllc |
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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 |
---|---|
Micah Sellew, Po Box 1258, Waynesboro, TN 38485-1258 Ph: (931) 253-1110 | Micah Sellew, 321 E Central Ave, Jamestown, TN 38556-4103 Ph: (931) 879-0206 |
Melissa D Branstetter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 341 West Central Ave, Jamestown, TN 38556 Phone: 931-879-9892 | |
Annette Lewis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 234 W Central Ave, Jamestown, TN 38556 Phone: 931-879-8139 Fax: 931-879-0221 | |
Katy Lynn Flowers, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 341 W Central Ave, Jamestown, TN 38556 Phone: 931-879-9892 | |
Mrs. Connie S. Lee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 418 B West Central Ave, Jamestown, TN 38556 Phone: 931-879-8794 Fax: 931-879-8887 | |
Ms. Lynda Ann Green, CNP GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Duncan St, Jamestown, TN 38556 Phone: 931-879-5864 | |
Lana Reeder, A.P.N Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Colonial Cir, Suite A, Jamestown, TN 38556 Phone: 931-879-9936 |