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Darrel T Hull

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1915 White Ave, Knoxville, TN 37916-2300

PECOS Enrollment

This provider is enrolled in PECOS as DARREL HULL.

Based on the most recent information from CMS, provider Darrel T Hull is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1770058869
Provider Type
Individual
Full Name
Hull, Darrel T
Credential
FNP

Gender
Male
Sole Proprietor
No
Enumeration Date
10/4/2018
Last Updated
7/8/2020

Contact Information

Practice Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 331-1720

(865) 331-2823

Mailing Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 331-1720

(865) 331-2823

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 24863 Tennessee

Provider Identifiers

ID	Description	Issuer
ID Q045334	Description Medicaid	Issuer Unlisted Tennessee

Darrel T Hull

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Brumbach, Jennifer L

Harrill, Kaitlyn Dorthea

Rouse, Mary Katrina Quist

Harvey, Sarah A

Cantrill, Deena

Blair, Candice Laura

Greer, Erick A

Dantzler, Katelyn Elizabeth

Williams, Alkiva Nicole

Wall, Rachal