Mrs Darice R Spackman, PAC ATC | |
330 22nd Ave N, Nashville, TN 37203-1844 | |
(615) 320-0007 | |
(615) 320-0009 |
Full Name | Mrs Darice R Spackman |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 23 Years |
Location | 330 22nd Ave N, Nashville, 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 |
---|---|---|---|
1689656910 | NPI | - | NPPES |
4166893 | Other | TN | BCBS |
4193033 | Other | TN | BCBS ASSISTANT AT SURGERY |
1504589 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA 949 (Tennessee) | Primary |
363AS0400X | Physician Assistant - Surgical | 949 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Tristar Centennial Medical Center | Nashville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neurosurgical Associates | 8022099142 | 23 |
Entity Name | Neurosurgical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649223348 PECOS PAC ID: 8022099142 Enrollment ID: O20040525001675 |
Mailing Address | Practice Location Address |
---|---|
Mrs Darice R Spackman, PAC ATC 330 22nd Ave N, Nashville, TN 37203-1844 Ph: (615) 320-0007 | Mrs Darice R Spackman, PAC ATC 330 22nd Ave N, Nashville, TN 37203-1844 Ph: (615) 320-0007 |
Lyle J. Parrigin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-3000 | |
Nichole Bonzano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Haley Durham, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2400 Patterson St Ste 307, Nashville, TN 37203 Phone: 615-342-6900 | |
Jode Monique Vallejos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2410 Patterson St Ste 500, Nashville, TN 37203 Phone: 615-342-4912 Fax: 615-342-4913 | |
Macy Christine Lee, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Nicolo Dini, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Robert M Connors, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 |