Micah Whitnell, | |
1600 Coleman Dr, Humboldt, TN 38343-1995 | |
(731) 470-4020 | |
Not Available |
Full Name | Micah Whitnell |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1600 Coleman Dr, Humboldt, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336845734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 33353 (Tennessee) | Primary |
Entity Name | West Tennessee Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
Entity Name | Humboldt Family Walk-in Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881135895 PECOS PAC ID: 3072899434 Enrollment ID: O20170810003221 |
Entity Name | Wt Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295223279 PECOS PAC ID: 1951650613 Enrollment ID: O20180814002772 |
Mailing Address | Practice Location Address |
---|---|
Micah Whitnell, 1600 Coleman Dr, Humboldt, TN 38343-1995 Ph: () - | Micah Whitnell, 1600 Coleman Dr, Humboldt, TN 38343-1995 Ph: (731) 470-4020 |
Mrs. Katherine Elizabeth James, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2865 E Main St, Humboldt, TN 38343 Phone: 731-814-5827 | |
Lefonda Hill, APN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3568 Chere Carol Rd, Humboldt, TN 38343 Phone: 731-784-7602 Fax: 731-784-9518 | |
Mrs. Alma Sue Moore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Shady Lane Est, Humboldt, TN 38343 Phone: 731-676-4931 | |
Chelsey Elizabeth Parks, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Us Highway 45 W, Humboldt, TN 38343 Phone: 731-784-7773 Fax: 731-784-0001 | |
Mrs. Olive Maury Caby Rich, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3568 Chere Carol Rd, Humboldt, TN 38343 Phone: 731-784-7602 Fax: 731-784-9518 | |
Ms. Terri Barger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Chamberlain Dr, Humboldt, TN 38343 Phone: 731-487-7679 |