Carolyn E Pendergast, OT | |
7750 Dannaher Dr, Powell, TN 37849-4039 | |
(865) 512-1140 | |
(865) 512-1141 |
Full Name | Carolyn E Pendergast |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 25 Years |
Location | 7750 Dannaher Dr, Powell, 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 |
---|---|---|---|
1497909428 | NPI | - | NPPES |
4211295 | Other | TN | BLUECROSS BLUESHIELD |
1510678 | Medicaid | TN | |
P00746470 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2468 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthotennessee, Pc | 3476453572 | 162 |
Provider Name | Orthotennessee, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518049592 PECOS PAC ID: 3476453572 Enrollment ID: O20040113000622 |
Mailing Address | Practice Location Address |
---|---|
Carolyn E Pendergast, OT 7750 Dannaher Dr, Powell, TN 37849-4039 Ph: (865) 512-1140 | Carolyn E Pendergast, OT 7750 Dannaher Dr, Powell, TN 37849-4039 Ph: (865) 512-1140 |
Jacob Hunter Johnson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7555 Barnett Way, Powell, TN 37849 Phone: 865-938-3556 Fax: 865-938-3558 | |
Anita Tisdale, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7557 Dannaher Ln, Suite G30, Powell, TN 37849 Phone: 865-512-1140 Fax: 865-512-1141 | |
Laurel Barnett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Fellowship Ln, Powell, TN 37849 Phone: 865-213-2844 | |
Ms. Gabrielle Nichole Powers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Fellowship Ln, Powell, TN 37849 Phone: 865-213-2844 | |
Jenna Swisshelm, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7565 Dannaher Dr, Powell, TN 37849 Phone: 865-859-7950 | |
Lauren Simpson, MOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7555 Barnett Way, Powell, TN 37849 Phone: 865-947-8634 |