| Chris Marasco M.d., Pc | |
|
112 Airport Drive Suite H Shelbyville TN 37160 | |
| (931) 680-6360 | |
| (931) 680-9909 |
| Full Name | Chris Marasco M.d., Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 112 Airport Drive, Shelbyville, Tennessee |
| Authorized Official Name and Position | Chris M Marasco (PRESIDENT) |
| Authorized Official Contact | 9316806360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Marasco M.d., Pc 112 Airport Drive Suite H Shelbyville TN 37160 Ph: (931) 680-6360 | Chris Marasco M.d., Pc 112 Airport Drive Suite H Shelbyville TN 37160 Ph: (931) 680-6360 |
| NPI Number | 1649596156 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 04/09/2010 |
| Medicare PECOS PAC ID | 1850416033 |
|---|---|
| Medicare Enrollment ID | O20100910000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649596156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 45678 (Tennessee) | Primary |
| Provider Name | Chris Michael Marasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881642791 PECOS PAC ID: 0042249708 Enrollment ID: I20100830000234 |
| Provider Name | Stephen B Feldhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194224998 PECOS PAC ID: 9133477862 Enrollment ID: I20180813000491 |
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