Ava Rose Dettore, PA
Physician Assistant · Red Bank, TN
Ava Rose Dettore, PA is a physician assistant with a practice address in Red Bank, Tennessee, and NPI 1295562106, issued on Sep 16, 2024. Check the license (Tennessee 6179, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ava Rose Dettore
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 6179 TN
Self-reported in NPPES; status is on the state search - Practice location
- 4104 Dayton Blvd, Red Bank, TN 37415
- Phone
- (423) 499-7710
- Enumerated
- Sep 16, 2024
- Record last updated
- Sep 16, 2024
- Medicare enrollment
- Enrolled (PECOS I20241122003380); accepts Medicare assignment
- Entity
- Type 1 · individual
Verify Ava Rose Dettore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 6179Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average physician assistant in 2024
13 Medicare Part D claims for 11 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Fast Pace Medical Clinic PLLCCollinwood, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
2 physician assistant records list a practice address in Red Bank
They are 2 of the 20 NPPES records with a practice address in Red Bank, and 3,055 physician assistant records in Tennessee.
All 2 in Red Bank → All 3,055 in Tennessee → Every provider in Red Bank →
Other physician assistant records in Tennessee
- Katrina Aardema, PA-CGallatin, TN1679039010
- Anum Abbas, PAMemphis, TN1548048671
- Samir AbdeljawadNashville, TN1396674370
- Rojin Abdullah, PA-CNashville, TN1982292447
- Cecilia Abello, PA-CNashville, TN1760336101
- Jadie Abendroth, PA-CMemphis, TN1073815742
- Marina Abraham, PA-CNashville, TN1316696370
- Merielle AbreuThompsons Station, TN1467048876
- Amanda Absher, PA-CMaryville, TN1144430794
- Seth Achey, PABristol, TN1437213857
Common questions
What is Ava Rose Dettore, PA's NPI number?
Ava Rose Dettore, PA's National Provider Identifier (NPI) is 1295562106, issued on Sep 16, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Ava Rose Dettore, PA located?
The NPPES record lists a practice address at 4104 Dayton Blvd, Red Bank, TN, 37415. Phone: (423) 499-7710. Providers update this record themselves, so call before visiting.
How can I verify Ava Rose Dettore, PA's license?
NPPES lists Tennessee license number 6179, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
How much does Ava Rose Dettore, PA prescribe under Medicare Part D?
In 2024, Ava Rose Dettore, PA had 13 Medicare Part D claims for 11 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.