Ms Lisa Ann Weaver, FNP-C | |
104 Ivy Ln, Pulaski, TN 38478-4550 | |
(931) 424-1330 | |
(931) 424-0019 |
Full Name | Ms Lisa Ann Weaver |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 31 Years |
Location | 104 Ivy Ln, Pulaski, 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 |
---|---|---|---|
1134124902 | NPI | - | NPPES |
3344019 | Medicaid | TN | |
3710887 | Other | TN | MEDICARE GROUP NUMBER |
1659447654 | Other | NPI GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 79070 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 6319 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nhc Homecare Columbia | Columbia, TN | Home health agency |
Amedisys Home Health Care | Smyrna, TN | Home health agency |
Southern Tennessee Regional Health System Pulaski | Pulaski, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Amg-hillside Llc | 9436240017 | 19 |
Entity Name | Lisa A Weaver |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659447654 PECOS PAC ID: 7214995703 Enrollment ID: O20041230000228 |
Entity Name | Amg-hillside Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710105499 PECOS PAC ID: 9436240017 Enrollment ID: O20070810000665 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Ann Weaver, FNP-C 104 Ivy Ln, Pulaski, TN 38478-4550 Ph: (931) 424-1330 | Ms Lisa Ann Weaver, FNP-C 104 Ivy Ln, Pulaski, TN 38478-4550 Ph: (931) 424-1330 |
Mrs. Sumitra Patel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Brindley Dr, Pulaski, TN 38478 Phone: 931-363-5438 | |
Kathy Cohen, MSN,CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 E College St, Pulaski, TN 38478 Phone: 931-363-2925 Fax: 931-363-9563 | |
Samantha Roper Cox, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 912 W College St, Pulaski, TN 38478 Phone: 931-424-9797 Fax: 931-424-9788 | |
Stephanie Hamrick, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 Brindley Dr, Pulaski, TN 38478 Phone: 931-363-5438 Fax: 931-363-3564 | |
Ashley Lynne Sanders, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 993 E College St, Pulaski, TN 38478 Phone: 931-363-3572 | |
Stephanie Tucker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 E College St, Pulaski, TN 38478 Phone: 931-363-2925 Fax: 931-363-9563 |