Roger Barnes (NPI# 1902078587, PAC ID# 7517038615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1902078587 |
PAC ID by PECOS | 7517038615 |
Professional Enrollment ID | I20080618000619 |
Full Name | Roger Barnes |
Organization Legal Name | MOUNTAIN MEDICAL SERVICES PLLC |
Address |
2946 Winfield Dunn Parkway Suite 107 Kodak TN 37764-4319 |
Phone Number | 8654653936 |
Gender | M |
Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2466620711 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440081 | LECONTE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764-4319 | 8654653936 | MOUNTAIN MEDICAL SERVICES PLLC |
Organization Legal Name | MOUNTAIN MEDICAL SERVICES PLLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kaycee N Dixon | Nurse Practitioner | Mountain Medical Services Pllc | 2946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764-4319 |
Angela M Phillips | Nurse Practitioner | Mountain Medical Services Pllc | 2946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764-4319 |
Amy Michelle Jarrett | Nurse Practitioner | Mountain Medical Services Pllc | 2946 Winfield Dunn Parkway, Kodak, TN 37764-4319 |
Street Address |
2946 WINFIELD DUNN PARKWAY SUITE 107 |
City | KODAK |
State | TN |
Zip | 37764-4319 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kaycee N Dixon | Nurse Practitioner | Mountain Medical Services Pllc | 2946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764-4319 |
Angela M Phillips | Nurse Practitioner | Mountain Medical Services Pllc | 2946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764-4319 |
Amy Michelle Jarrett | Nurse Practitioner | Mountain Medical Services Pllc | 2946 Winfield Dunn Parkway, Kodak, TN 37764-4319 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen C Beets | Nurse Practitioner | Tn Premier Care LLC | 3609 Outdoor Sportsman Pl, Kodak, TN 37764-1476 |
Doreen G Leo-huneke | Clinical Social Worker | 1110 Hide Away Ln, Kodak, TN 37764-2600 | |
James Mcclure | Physical Therapy | Independent Physical Therapy LLC | 2946 Winfield Dunn Pkwy, Suite 106, Kodak, TN 37764-4318 |
Joseph Laznik | Physical Therapy | Independent Physical Therapy LLC | 2946 Winfield Dunn Pkwy, Suite 106, Kodak, TN 37764-4318 |
Tonia Denise Littleton | Physical Therapy | Independent Physical Therapy LLC | 2946 Winfield Dunn Pkwy, Suite 106, Kodak, TN 37764-4318 |
Benjamin J Wittman | Physical Therapy | Independent Physical Therapy LLC | 2946 Winfield Dunn Pkwy, Suite 106, Kodak, TN 37764-4318 |
Adam Christopher Cox | Physical Therapy | Independent Physical Therapy LLC | 2946 Winfield Dunn Pkwy, Suite 106, Kodak, TN 37764-4318 |
City | KODAK |
Zip Code | 37764 |
Specialty | NURSE PRACTITIONER |
City + Specialty | KODAK + 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.