East Tennessee Children's Hospital Pediatric Genetics is a
Medical Genetics - Clinical Biochemical Genetics based in Knoxville, Tennessee. East Tennessee Children's Hospital Pediatric Genetics is licensed to practice in * (Not Available) (license number ) and their current practice location is
2018 Clinch Avenue South Tower 2nd Floor, Knoxville, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(865) 525-1425.
NPI number for East Tennessee Children's Hospital Pediatric Genetics is 1477941375 and their current mailing address is Po Box 50068, Knoxville, Tennessee. East Tennessee Children's Hospital Pediatric Genetics
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477941375.
Healthcare Provider's Profile
| Full Name | East Tennessee Children's Hospital Pediatric Genetics |
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| Type | Facility |
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| Speciality | Medical Genetics - Clinical Biochemical Genetics |
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| Location | 2018 Clinch Avenue South Tower 2nd Floor, Knoxville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477941375
- Provider Enumeration Date: 12/30/2014
- Last Update Date: 09/05/2026
Medical Identifiers
Medical identifiers for East Tennessee Children's Hospital Pediatric Genetics such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477941375 | NPI | - | NPPES |
| Q020703 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
| 170300000X | Genetic Counselor, Ms | (* (Not Available)) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | (* (Not Available)) | Secondary |
| 207SG0202X | Medical Genetics - Clinical Biochemical Genetics | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. East Tennessee Children's Hospital Pediatric Genetics is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Tennessee Children's Hospital Pediatric Genetics
Po Box 50068,
Knoxville, TN 37950-0068
Ph: (865) 541-8895 | East Tennessee Children's Hospital Pediatric Genetics
2018 Clinch Avenue South Tower 2nd Floor,
Knoxville, TN 37916-2301
Ph: (865) 525-1425 |
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