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Amy Marie Suppinger

Internal Medicine

Allopathic & Osteopathic Physicians

4601 Carothers Parkway, Suite 225, Franklin, TN 37067

PECOS Enrollment

This provider is enrolled in PECOS as AMY SUPPINGER.

Based on the most recent information from CMS, provider Amy Marie Suppinger 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 15 days ago.

Profile Details

Provider ID
1841201886
Provider Type
Individual
Full Name
Suppinger, Amy Marie
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/11/2006
Last Updated
8/4/2009

Contact Information

Practice Location

4601 Carothers Parkway, Suite 225, Franklin, TN 37067

(615) 794-5354

(615) 599-3532

Mailing Location

4601 Carothers Parkway, Suite 225, Franklin, TN 37067

(615) 794-5354

(615) 599-3532

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD37452 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 3886933	Description Medicaid	Issuer Unlisted Tennessee

Amy Marie Suppinger

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

Hospitalist Medicine Physicians Of Tennessee-Tcg, Pc

Pritchett, Nancy (Erin) Gaw

Franklin Medical Clinic Pllc

Vloedman, Karen

Barr, Michael Stuart

Kim, Sanford J

Hermitage Medical Associates Pllc

Versal

Langston, Sheron Joan

See, Sarah H.