Savannah Beverly, is a
Student In An Organized Health Care Education/training Program based in Russellville, Tennessee. Savannah Beverly is licensed to practice in * (Not Available) (license number ) and her current practice location is
2511 Brandi Dr, Russellville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 429-5111.
NPI number for Savannah Beverly is 1508572454 and her current mailing address is 2511 Brandi Dr, Russellville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508572454.
Provider's Profile
| Full Name | Savannah Beverly |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2511 Brandi Dr, Russellville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508572454
- Provider Enumeration Date: 01/24/2023
- Last Update Date: 02/07/2023
Medical Identifiers
Medical identifiers for Savannah Beverly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508572454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 245349 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Savannah Beverly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Savannah Beverly,
2511 Brandi Dr,
Russellville, TN 37860-9366
Ph: () - | Savannah Beverly,
2511 Brandi Dr,
Russellville, TN 37860-9366
Ph: (423) 429-5111 |
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