Deidre Michelle Brown (NPI# 1588110365, PAC ID# 5991083917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1588110365 |
PAC ID by PECOS | 5991083917 |
Professional Enrollment ID | I20161026001882 |
Full Name | Deidre Michelle Brown |
Organization Legal Name | MASINGALE FAMILY PRACTICE LLC |
Address |
321 W Athens St Englewood TN 37329-3269 |
Phone Number | 4238877100 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5890957740 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440068 | STARR REGIONAL MEDICAL CENTER ATHENS |
Address | Phone | Organization |
---|---|---|
321 W Athens St, Englewood, TN 37329-3269 | 4238877100 | MASINGALE FAMILY PRACTICE LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
Organization Legal Name | MASINGALE FAMILY PRACTICE LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Monica Masingale | Nurse Practitioner | Masingale Family Practice LLC | 321 W Athens St, Englewood, TN 37329-3269 |
Street Address |
321 W ATHENS ST |
City | ENGLEWOOD |
State | TN |
Zip | 37329-3269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Monica Masingale | Nurse Practitioner | Masingale Family Practice LLC | 321 W Athens St, Englewood, TN 37329-3269 |
Thitiporn S Whaley | Nurse Practitioner | Cherokee Health Systems | 321 W Athens St, Englewood, TN 37329-3269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lacie Gudger | Nurse Practitioner | Cherokee Health Systems | 3360 Hwy 411 N, Englewood, TN 37329-3269 |
Kristi L Hayes | Nurse Practitioner | Cherokee Health Systems | 3360 Hwy 411 N, Englewood, TN 37329-3269 |
City | ENGLEWOOD |
Zip Code | 37329 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ENGLEWOOD + 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.