Look up the most recent NPI and PECOS records

Tommie Lee Fields

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

73 Thompson Poynter Rd Ste A, London, KY 40741-7202

PECOS Enrollment

This provider is enrolled in PECOS as TOMMIE FIELDS.

Based on the most recent information from CMS, provider Tommie Lee Fields 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 yesterday at 11:47 AM.

Profile Details

Provider ID
1962867325
Provider Type
Individual
Full Name
Fields, Tommie Lee
Title
Mrs.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
12/29/2015
Last Updated
2/9/2021

Contact Information

Practice Location

73 Thompson Poynter Rd Ste A, London, KY 40741-7202

(606) 877-1446

(606) 877-1285

Mailing Location

73 Thompson Poynter Rd Ste A, London, KY 40741-7202

(606) 877-1446

(606) 877-1285

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3009981 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 3009981	Description Other	Issuer MEDICAID Kentucky

Tommie Lee Fields

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

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Brock Medical, Llc

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Wolfe, William Paul

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Pezzi, Melinda Mae

Philpot, Chelsey Blake

Cumberland Clinic Pllc