| Cookeville Medical Center | |
|
225 N Willow Ave Cookeville TN 38501-2335 | |
| (931) 528-8899 | |
| (866) 813-8531 |
| Full Name | Cookeville Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 225 N Willow Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Pushpendra K Jain (CEO) |
| Authorized Official Contact | 9315288899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cookeville Medical Center 225 N Willow Ave Cookeville TN 38501-2335 Ph: (931) 528-8899 | Cookeville Medical Center 225 N Willow Ave Cookeville TN 38501-2335 Ph: (931) 528-8899 |
| NPI Number | 1013055912 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 0143125237 |
|---|---|
| Medicare Enrollment ID | O20031203000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013055912 | NPI | - | NPPES |
| 3709492 | Medicaid | TN |
| Provider Name | Gamal Sade Eskander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659351542 PECOS PAC ID: 6901828573 Enrollment ID: I20060301000236 |
| Provider Name | Pushpendra K Jain |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689748634 PECOS PAC ID: 4587569520 Enrollment ID: I20080826000783 |
| Provider Name | Gamini H Wiyathunge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265673768 PECOS PAC ID: 5092855429 Enrollment ID: I20091216000314 |
| Provider Name | Melissa C Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982914065 PECOS PAC ID: 9638358583 Enrollment ID: I20110124001105 |
| Provider Name | Linda G Quarles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962705400 PECOS PAC ID: 5799960373 Enrollment ID: I20110425000736 |
| Provider Name | Japheth F Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033257092 PECOS PAC ID: 1254508013 Enrollment ID: I20120118000727 |
| Provider Name | Abhay G Kemkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346312477 PECOS PAC ID: 9830366343 Enrollment ID: I20120125000137 |
| Provider Name | Pamela Ashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366798951 PECOS PAC ID: 2163673229 Enrollment ID: I20121119000446 |
| Provider Name | Edith Ruchelle Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225466758 PECOS PAC ID: 5991928475 Enrollment ID: I20140602001945 |
| Provider Name | Danielle Goolsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568088177 PECOS PAC ID: 3870918840 Enrollment ID: I20200807001465 |
| Provider Name | Amber Nicole Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629662093 PECOS PAC ID: 4183030281 Enrollment ID: I20210316001782 |
| Provider Name | Breanna Jane Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164171831 PECOS PAC ID: 1254727274 Enrollment ID: I20220331000124 |
| Provider Name | Melissa M Ptak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508485954 PECOS PAC ID: 7618355629 Enrollment ID: I20220603000822 |
| Provider Name | Brett Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053928804 PECOS PAC ID: 1557772019 Enrollment ID: I20221230000626 |
| Provider Name | April Dee Dearmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316655921 PECOS PAC ID: 0749651610 Enrollment ID: I20230201001236 |
| Provider Name | Lisa Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124502018 PECOS PAC ID: 4789919168 Enrollment ID: I20230412002173 |
| Provider Name | Scott Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558845594 PECOS PAC ID: 5799021804 Enrollment ID: I20230501002845 |
| Provider Name | Rita Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235517244 PECOS PAC ID: 8022324672 Enrollment ID: I20230630002043 |
| Provider Name | Priscilla Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548046857 PECOS PAC ID: 3072952712 Enrollment ID: I20240415002685 |
Kenny W. Lynn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Cedar Ave, Cookeville, TN 38501 Phone: 931-528-7418 Fax: 931-525-6165 | |
Tennessee Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 102, Cookeville, TN 38501 Phone: 931-651-1918 Fax: 931-651-1912 | |
Interstate Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 190, Cookeville, TN 38501 Phone: 931-526-1604 | |
Benchmark Pt - Cookeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
1101 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
Urgent Team Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 S Jefferson Ave Ste 101, Cookeville, TN 38501 Phone: 931-303-0958 Fax: 931-854-1545 |