Modeanna L Wade (NPI# 1760767016, PAC ID# 6901079037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760767016 |
| PAC ID by PECOS | 6901079037 |
| Professional Enrollment ID | I20111104000197 |
| Full Name | Modeanna L Wade |
| Address |
115 S Munford St Covington TN 38019-2527 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 115 S Munford St, Covington, TN 38019-2527 |
| Street Address |
115 S MUNFORD ST |
| City | COVINGTON |
| State | TN |
| Zip | 38019-2527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasma Graham Robertson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| John Larkin | Internal Medicine | 1995 Hwy 51 S 208, Covington, TN 38019 | |
| Jennifer Mitchell Miller | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tammy B Billings | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Kristen Anderson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Madison Wallace | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Sheketa Lane | Physician Assistant | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Deondra Edwards | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Tanya R Bartholomew | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Morgan C Smith | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1618 Hwy 51 S Suites A B, Covington, TN 38019 |
| Find all physicians in zip 38019 | |||
| City | COVINGTON |
| Zip Code | 38019 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COVINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Modeanna L Wade.
| 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.