Stacey D Ervin (NPI# 1487697538, PAC ID# 2961453071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487697538 |
| PAC ID by PECOS | 2961453071 |
| Professional Enrollment ID | I20050207000377 |
| Full Name | Stacey D Ervin |
| Organization Legal Name | HHY, LLC |
| Address |
1805 Industrial Way Clarksville TX 75426-2564 |
| Phone Number | 9034280100 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618279530 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450200 | WADLEY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1805 Industrial Way, Clarksville, TX 75426-2564 | 9034280100 | HHY, LLC |
| Organization Legal Name | HHY, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Michelle Hawthorne | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
| Rachel Leah Stanley | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
| Street Address |
1805 INDUSTRIAL WAY |
| City | CLARKSVILLE |
| State | TX |
| Zip | 75426-2564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Michelle Hawthorne | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
| Rachel Leah Stanley | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi K Sreerama | Internal Medicine | 103 N College St, Clarksville, TX 75426-2982 | |
| Kerri Huddleston | Nurse Practitioner | Prmc Healthcare Group, Inc. | 103 N College St, Clarksville Clinic, Clarksville, TX 75426-2982 |
| Bacharanianda Muthappa | Family Medicine | B. C. Muthappa, M.d., P.a. | 120 Farm Rd, Suite 2825, Clarksville, TX 75426-3348 |
| Deepak Bacharanianda Muthappa | Family Medicine | B. C. Muthappa, M.d., P.a. | 120 Farm Rd, Suite 2825, Clarksville, TX 75426-3348 |
| Marilyn S Degenhardt | Clinical Social Worker | Supportive Care LLC | 300 E Baker St, Clarksville, TX 75426-5034 |
| Mary Elizabeth Cannon | Clinical Social Worker | Supportive Care LLC | 300 E Baker St, Clarksville, TX 75426-5034 |
| City | CLARKSVILLE |
| Zip Code | 75426 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacey D Ervin.
| 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.