Betty A Roe (NPI# 1083692164, PAC ID# 3476532813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083692164 |
| PAC ID by PECOS | 3476532813 |
| Professional Enrollment ID | I20040719000576 |
| Full Name | Betty A Roe |
| Organization Legal Name | MILAN MEDICAL CENTER, P.C. |
| Address |
6041 Telecom Dr Milan TN 38358-3448 |
| Phone Number | 7316861505 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385737311 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440060 | MILAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 116 W Main St, Henderson, TN 38340-2231 | 7319890001 | FRIX-JENNINGS CLINIC PC |
| 1314 Hwy 45 Bypass, Suite A, Henderson, TN 38340-4003 | 7319890001 | FRIX-JENNINGS CLINIC PC |
| 6041 Telecom Dr, Milan, TN 38358-3448 | 7316861505 | MILAN MEDICAL CENTER, P.C. |
| Organization Legal Name | MILAN MEDICAL CENTER, P.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry P Wilson | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Patrick N Andre | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Wade Park Reeves | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Jean A Davis | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Street Address |
6041 TELECOM DR |
| City | MILAN |
| State | TN |
| Zip | 38358-3448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry P Wilson | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Patrick N Andre | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Wade Park Reeves | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Jean A Davis | Family Medicine | Milan Medical Center, P.C. | 6041 Telecom Dr, Milan, TN 38358-3448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Travis | Nurse Practitioner | Balance Medical and Rehab, Pllc | 1133 S Main St, Milan, TN 38358-2725 |
| Jason Michael Powers | Chiropractic | Balance Medical and Rehab, Pllc | 1133 S Main St, Milan, TN 38358-2725 |
| Douglas B Sams | Chiropractic | Balance Medical and Rehab, Pllc | 1133 S Main St, Milan, TN 38358-2725 |
| Jake Wayne Whitby | Chiropractic | Balance Medical and Rehab, Pllc | 1133 S Main St, Milan, TN 38358-2725 |
| Bambi Lafont | Nurse Practitioner | Balance Medical and Rehab, Pllc | 1133 S Main St, Milan, TN 38358-2725 |
| Lyndsey Paquette Powers | Chiropractic | Balance Medical and Rehab, Pllc | 1133 S Main St, Milan, TN 38358-2725 |
| Lewis B Kizer | Optometry | 2081 S Main St, Milan, TN 38358-3011 | |
| Jesse A Dean Iii | Chiropractic | 1086 W Van Hook St, Milan, TN 38358-3026 | |
| Randy A Earls | Nurse Practitioner | Omni Medical and Rehab, Inc. | 1086 W Van Hook St, Milan, TN 38358-3026 |
| Naomi D Watson | Physician Assistant | Omni Medical and Rehab, Inc. | 1086 W Van Hook St, Milan, TN 38358-3026 |
| Find all physicians in zip 38358 | |||
| City | MILAN |
| Zip Code | 38358 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILAN + NURSE PRACTITIONER |
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| 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.