| Bluesky Housecalls, Llc | |
|
109 Westpark Dr Brentwood TN 37027-5063 | |
| (615) 340-6840 | |
| (615) 600-4804 |
| Full Name | Bluesky Housecalls, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Westpark Dr, Brentwood, Tennessee |
| Authorized Official Name and Position | Jacob Wallstedt (CHIEF OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 6153406840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluesky Housecalls, Llc Po Box 150979 Brentwood TN 37027 Ph: () - | Bluesky Housecalls, Llc 109 Westpark Dr Brentwood TN 37027-5063 Ph: (615) 340-6840 |
| NPI Number | 1073986410 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 3476859257 |
|---|---|
| Medicare Enrollment ID | O20160303001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073986410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce A Wallstedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770578882 PECOS PAC ID: 7810976545 Enrollment ID: I20040716000336 |
| Provider Name | Millie A Tremlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598917452 PECOS PAC ID: 6305908799 Enrollment ID: I20081218000481 |
| Provider Name | Paula Havelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376814095 PECOS PAC ID: 1456590439 Enrollment ID: I20130624000491 |
| Provider Name | Leanne Parchman Venable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962684878 PECOS PAC ID: 9739311101 Enrollment ID: I20140616000813 |
| Provider Name | Lindsey Nicole Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360874 PECOS PAC ID: 5890012470 Enrollment ID: I20150318002461 |
| Provider Name | Elisabeth Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629472832 PECOS PAC ID: 0749507812 Enrollment ID: I20150330001258 |
| Provider Name | Rona Darlene Siscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801272257 PECOS PAC ID: 8921378258 Enrollment ID: I20170719003473 |
| Provider Name | Matthew Abram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780106245 PECOS PAC ID: 9830465418 Enrollment ID: I20171026000834 |
| Provider Name | Elizabeth A Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821523598 PECOS PAC ID: 0648529032 Enrollment ID: I20180817001638 |
| Provider Name | Bailey Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427639731 PECOS PAC ID: 2062814593 Enrollment ID: I20210707001057 |
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