| Heartland Infusion | |
|
10910 Kingston Pike Unit 101 Knoxville TN 37934-2948 | |
| (865) 862-4557 | |
| Not Available |
| Full Name | Heartland Infusion |
|---|---|
| Speciality | General Practice |
| Location | 10910 Kingston Pike Unit 101, Knoxville, Tennessee |
| Authorized Official Name and Position | Stacey Shelton (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 5133139014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Infusion Po Box 32789 Palm Beach Gardens FL 33420-2789 Ph: (561) 327-4970 | Heartland Infusion 10910 Kingston Pike Unit 101 Knoxville TN 37934-2948 Ph: (865) 862-4557 |
| NPI Number | 1710653761 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 8527448265 |
|---|---|
| Medicare Enrollment ID | O20220712001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710653761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Candace M Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467583021 PECOS PAC ID: 3779513866 Enrollment ID: I20050818000214 |
| Provider Name | Tina Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841756152 PECOS PAC ID: 9436485802 Enrollment ID: I20190723001170 |
| Provider Name | Rachelle Gang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710128 PECOS PAC ID: 8527456581 Enrollment ID: I20211022002325 |
| Provider Name | Sara Ann Dajani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194333054 PECOS PAC ID: 9133525553 Enrollment ID: I20220126000831 |
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