Mrs Beverly Ann Bradshaw, APRN BC | |
2521 Beechwood Dr, Elizabethton, TN 37643-5062 | |
(423) 543-7919 | |
(423) 543-5323 |
Full Name | Mrs Beverly Ann Bradshaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2521 Beechwood Dr, Elizabethton, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043282502 | NPI | - | NPPES |
3348271 | Other | TN | MEDICARE PTAN |
3348272 | Other | TN | MECICARE PTAN |
1043282502 | Other | TN | NPI NUMBER |
3348273 | Other | TN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 49977 (Tennessee) | Primary |
Entity Name | Summit View Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952557381 PECOS PAC ID: 7113971599 Enrollment ID: O20050309000999 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Senior Care Partners Of East Tennessee Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750639241 PECOS PAC ID: 4486801982 Enrollment ID: O20120905000362 |
Mailing Address | Practice Location Address |
---|---|
Mrs Beverly Ann Bradshaw, APRN BC 2521 Beechwood Dr, Elizabethton, TN 37643-5062 Ph: (423) 543-7919 | Mrs Beverly Ann Bradshaw, APRN BC 2521 Beechwood Dr, Elizabethton, TN 37643-5062 Ph: (423) 543-7919 |
Nikki Faye Roberts, MSN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 426 E G St, Elizabethton, TN 37643 Phone: 423-547-5950 Fax: 423-467-3644 | |
Teresa L Payne, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Rogosin Dr, Elizabethton, TN 37643 Phone: 423-433-6630 Fax: 423-232-8574 | |
Mr. Kermit L. Dugger, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643 Phone: 423-542-8929 Fax: 423-542-8621 | |
Mrs. Ashley Danielle Bowman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 171 Clay Little Rd, Elizabethton, TN 37643 Phone: 423-647-0404 | |
Kristin A Patchell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 S Riverside Dr, Elizabethton, TN 37643 Phone: 859-640-9922 | |
Mrs. Tiffany Charlotte Jenkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643 Phone: 423-542-7420 Fax: 423-542-7425 |