| Ms Barbara Hathaway, APN | |
|
1901 S Shady St, Mountain City, TN 37683-2021 | |
| (423) 727-1150 | |
| (423) 727-1152 |
| Full Name | Ms Barbara Hathaway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 1901 S Shady St, Mountain City, 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 |
|---|---|---|---|
| 1588770432 | NPI | - | NPPES |
| 1506702 | Medicaid | TN | |
| 7000164 | Medicaid | NC | |
| TN0164 | Other | TN | TENNCARE-JOHN DEERE |
| 4309010 | Other | TN | BCBST |
| 77-8563-1 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 92888 (Tennessee) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 92888 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capeside Psychiatry Pllc | 5991926560 | 9 |
| Capeside Psychiatry Pllc | 5991926560 | 9 |
| Entity Name | Capeside Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760891980 PECOS PAC ID: 5991926560 Enrollment ID: O20220720000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Barbara Hathaway, APN 365 Stout Drive Box 70403, Johnson City, TN 37614-1703 Ph: (423) 439-4515 | Ms Barbara Hathaway, APN 1901 S Shady St, Mountain City, TN 37683-2021 Ph: (423) 727-1150 |
Emily B. Mcqueen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 South Shady Street, Mountain City, TN 37683 Phone: 423-727-1103 Fax: 423-727-1140 | |
Brittany S Hill, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 Medical Park Dr, Mountain City, TN 37683 Phone: 423-727-7800 | |
Christina Faith Stacy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Oak St, Mountain City, TN 37683 Phone: 423-727-6319 Fax: 423-727-4164 | |
Christina Nicole Morton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1150 Fax: 423-727-1552 | |
Mrs. Michelle Lee Manuel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 237-271-1504 Fax: 423-727-1152 | |
Bethany Monique Rock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5249 Highway 67 W, Mountain City, TN 37683 Phone: 423-727-7387 Fax: 423-727-4532 | |
Wendy Lee Henley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 N Church St, Mountain City, TN 37683 Phone: 423-291-5755 |