Saint Francis Physician Network, Llc | |
4501 Mueller Brass Rd Covington TN 38019-3749 | |
(901) 872-3114 | |
(901) 313-8040 |
Full Name | Saint Francis Physician Network, Llc |
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Speciality | Family Medicine |
Location | 4501 Mueller Brass Rd, Covington, Tennessee |
Authorized Official Name and Position | Brian Rasmus (VP, CFO TPR) |
Authorized Official Contact | 4698936382 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saint Francis Physician Network, Llc Po Box 22403 Belfast ME 04915-4476 Ph: (855) 270-2514 | Saint Francis Physician Network, Llc 4501 Mueller Brass Rd Covington TN 38019-3749 Ph: (901) 872-3114 |
NPI Number | 1295258002 |
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Provider Enumeration Date | 07/24/2017 |
Last Update Date | 01/04/2023 |
Medicare PECOS PAC ID | 2365701943 |
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Medicare Enrollment ID | O20180108001271 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295258002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cassandra Hawkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982609004 PECOS PAC ID: 3274520820 Enrollment ID: I20040427000847 |
Provider Name | Glenn Allen Crosby |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1760445241 PECOS PAC ID: 9830186998 Enrollment ID: I20040615000784 |
Provider Name | Martha M Clinton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306896386 PECOS PAC ID: 8325081581 Enrollment ID: I20050608000560 |
Provider Name | Emmily T Hurdle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881072387 PECOS PAC ID: 3476858937 Enrollment ID: I20160219002151 |
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