Thomas Daniel Shirley, | |
11546 Chapman Hwy, Seymour, TN 37865-5044 | |
(865) 578-5080 | |
Not Available |
Full Name | Thomas Daniel Shirley |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 11546 Chapman Hwy, Seymour, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609218569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 17807 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Leconte Medical Center | Sevierville, TN | Hospital |
Physicians Regional Medical Center | Powell, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covenant Medical Group Inc | 2860305463 | 281 |
Entity Name | Covenant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
Mailing Address | Practice Location Address |
---|---|
Thomas Daniel Shirley, 117 Vera Ln, Dandridge, TN 37725-6872 Ph: (865) 789-6506 | Thomas Daniel Shirley, 11546 Chapman Hwy, Seymour, TN 37865-5044 Ph: (865) 578-5080 |
Kristi Michelle Rutherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Phoenix Ct Ste 1, Seymour, TN 37865 Phone: 865-577-6475 Fax: 865-577-7942 | |
Laura Contri, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174 | |
Brittany R. Simpson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10626 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-5231 Fax: 865-577-1539 | |
Mrs. Amber Gaskins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11657 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-4836 | |
Wendy Wimbrow Laforest, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10626 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-5231 Fax: 865-577-1539 | |
Ewelina K Freudenberger, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174 | |
Brittany Lucas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174 |