Ava Rose Dettore, PA
Ava Rose Dettore, PA is a Physician Assistant in Red Bank, Tennessee. Qualified in 2024, 2 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 2
- Licensed in
- TN
- In the registry since
- 2024
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
4104 Dayton BlvdRed Bank, TN 37415-7155
Phone: (423) 499-7710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 6179 (TN) |
|---|
Record details
| NPI number | 1295562106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 16, 2024 |
| Last updated in NPPES | September 16, 2024 |
| Certification date | September 16, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Fast Pace Medical Clinic Pllc — 738 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |