Deidre Michelle Brown
MASINGALE FAMILY PRACTICE LLC


Address: 321 W Athens St, Englewood, TN 37329-3269
Phone: 4238877100

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440068 STARR REGIONAL MEDICAL CENTER ATHENS

Other Locations

Address Phone Organization
321 W Athens St, Englewood, TN 37329-3269 4238877100 MASINGALE FAMILY PRACTICE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name MASINGALE FAMILY PRACTICE LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Monica Masingale Nurse Practitioner Masingale Family Practice LLC 321 W Athens St, Englewood, TN 37329-3269

Office Location

Street Address 321 W ATHENS ST
City ENGLEWOOD
State TN
Zip 37329-3269

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City ENGLEWOOD
Zip Code 37329
Specialty NURSE PRACTITIONER
City + Specialty ENGLEWOOD + NURSE PRACTITIONER

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Dataset Information

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.

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