Mr William Vidal Caicedo, FNP-C | |
101 Main St N, Middleton, TN 38052-3433 | |
(731) 472-2147 | |
(731) 472-2148 |
Full Name | Mr William Vidal Caicedo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 101 Main St N, Middleton, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851732259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 17787 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Home Health | Jackson, TN | Home health agency |
Bolivar General Hospital | Bolivar, TN | Hospital |
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Magnolia Regional Health Center | Corinth, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Family Medical Center | 2961755913 | 2 |
Entity Name | Advanced Family Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467957126 PECOS PAC ID: 2961755913 Enrollment ID: O20181022002238 |
Mailing Address | Practice Location Address |
---|---|
Mr William Vidal Caicedo, FNP-C 101 Main St N, Middleton, TN 38052-3433 Ph: (731) 472-2147 | Mr William Vidal Caicedo, FNP-C 101 Main St N, Middleton, TN 38052-3433 Ph: (731) 472-2147 |
Teresa Morgan Dillinger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 727 S Main St, Middleton, TN 38052 Phone: 731-472-2072 Fax: 731-472-2079 | |
Mrs. Tonya Freeman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 S Main St, Middleton, TN 38052 Phone: 731-837-5028 Fax: 731-837-5027 | |
Samantha Danielle Browder, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 702 S Main St, Middleton, TN 38052 Phone: 731-837-5028 Fax: 731-837-5027 | |
Ashley Elizabeth Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Chickadee Ave, Middleton, TN 38052 Phone: 731-376-0034 Fax: 731-376-2372 | |
Candice Leigh Heavener, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 727 S Main St, Middleton, TN 38052 Phone: 731-472-2072 |