Mary Rebecca Wall (NPI# 1134689920, PAC ID# 0840523270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134689920 |
| PAC ID by PECOS | 0840523270 |
| Professional Enrollment ID | I20190617003117 |
| Full Name | Mary Rebecca Wall |
| Organization Legal Name | MCKENZIE MEDICAL CENTER PC |
| Address |
205 Hospital Dr A Mckenzie TN 38201-1649 |
| Phone Number | 9013527907 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365427853 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 205 Hospital Dr A, Mckenzie, TN 38201-1649 | 9013527907 | MCKENZIE MEDICAL CENTER PC |
| 301 Tyson Ave, Paris, TN 38242-4544 | 7316421220 | EAGLE CREEK EMERGENCY GROUP, PC |
| Organization Legal Name | MCKENZIE MEDICAL CENTER PC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keliea Ann Winstead | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Mark T Smith | Optometry | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Holly A Arnold | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Lauren A Fields | Clinical Social Worker | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Lori B Holladay | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Eugene F Gulish | Orthopedic Surgery | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| David A Johnson | Clinical Social Worker | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Tanya L Arnold | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Beth Graves | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Gyu Jo | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Street Address |
205 HOSPITAL DR A |
| City | MCKENZIE |
| State | TN |
| Zip | 38201-1649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keliea Ann Winstead | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Mark T Smith | Optometry | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Holly A Arnold | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Lauren A Fields | Clinical Social Worker | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Lori B Holladay | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Eugene F Gulish | Orthopedic Surgery | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| David A Johnson | Clinical Social Worker | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Tanya L Arnold | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Beth Graves | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Gyu Jo | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley A Tester | Chiropractic | 62 Hospital Dr, Mc Kenzie, TN 38201-1637 | |
| Cynthia Lynn Argo | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Erin Legens | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Ramon Padilla | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Shelby Jo Priddy Chapman | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Cynthia Holladay Laux | Physician Assistant | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Bryan Hale Merrick | Internal Medicine | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Kristin Russell Davis | Family Medicine | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Terry Andrew Colotta | Family Medicine | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Elizabeth A Riddle | Nurse Practitioner | Mckenzie Medical Center PC | 205 Hospital Dr A, Mckenzie, TN 38201-1649 |
| Find all physicians in zip 38201 | |||
| City | MCKENZIE |
| Zip Code | 38201 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MCKENZIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Rebecca Wall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.