Wendy Burks Pevahouse, APN | |
9 Physicians Dr, Jackson, TN 38305-2071 | |
(731) 772-4199 | |
Not Available |
Full Name | Wendy Burks Pevahouse |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 9 Physicians Dr, Jackson, 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 |
---|---|---|---|
1194149385 | NPI | - | NPPES |
Q009893 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 18424 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Milan General Hospital | Milan, TN | Hospital |
Bolivar General Hospital | Bolivar, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gastroenterology Center Of The Midsouth Pllc | 4880619824 | 138 |
Entity Name | Gastroenterology Center Of The Midsouth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753 |
Mailing Address | Practice Location Address |
---|---|
Wendy Burks Pevahouse, APN 9 Physicians Dr, Jackson, TN 38305-2071 Ph: (731) 772-4199 | Wendy Burks Pevahouse, APN 9 Physicians Dr, Jackson, TN 38305-2071 Ph: (731) 772-4199 |
Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 | |
Amy K Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380 | |
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035 | |
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 | |
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310 | |
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233 | |
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483 |