Demiana Attallah, PA in Clarksville, TN - Medicare Physician Assistant

Demiana Attallah, PA is a medicare enrolled "Physician Assistant" in Clarksville, Tennessee. Her current practice location is 1193 Fort Campbell Blvd, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 648-4838.

Demiana Attallah is licensed to practice in Tennessee (license number 5495) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164104717.

Contact Information

	Demiana Attallah, PA
	1193 Fort Campbell Blvd, Clarksville, TN 37042-8880
	(931) 648-4838
	Not Available

Provider's Profile

Full Name	Demiana Attallah
Gender	Female
Speciality	Physician Assistant
Location	1193 Fort Campbell Blvd, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164104717
Provider Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9830552819
Enrollment ID: I20230823002761

Medical Identifiers

Medical identifiers for Demiana Attallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164104717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5495 (Tennessee)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Demiana Attallah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Demiana Attallah, PA 1604 Bill Eller Dr, La Vergne, TN 37086-3146 Ph: (615) 710-2834	Demiana Attallah, PA 1193 Fort Campbell Blvd, Clarksville, TN 37042-8880 Ph: (931) 648-4838

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Physician Assistant Nurses in Clarksville, TN

Mr. Ronald Allen Carden, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2320 Wilma Rudolph Blvd., Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842
Mrs. Jenny Lee Robinson, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 980 Professional Park Dr, Suite A, Clarksville, TN 37040 Phone: 931-905-1001 Fax: 931-905-0410
Inessa Pavlovna Brooks, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 980 Professional Park Dr, Suite A, Clarksville, TN 37040 Phone: 931-905-1001 Fax: 931-905-0410
Amanda Maria Bahnam, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040 Phone: 931-502-3810 Fax: 931-502-2512
Mr. Ronald Kerry Brawley, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1771 Madison St, Suite 210, Clarksville, TN 37043 Phone: 931-551-1507 Fax: 931-551-1505
Destinee Briana Fowler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042 Phone: 615-553-5000 Fax: 615-758-3875
Niti Patel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 274 Clear Sky Ct, Clarksville, TN 37043 Phone: 601-808-0051

Demiana Attallah, PA - Medicare Physician Assistant in Clarksville, TN