| Algianon Moses Jeffero, MD | |
|
9400 Rhea County Hwy, Dayton, TN 37321-7922 | |
| (423) 775-1121 | |
| (865) 291-3228 |
| Full Name | Algianon Moses Jeffero |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 9400 Rhea County Hwy, Dayton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063458479 | NPI | - | NPPES |
| 3123825 | Other | TN | BCBS OF TENNESSEE |
| 3810597 | Medicaid | TN | |
| P00396558 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 17448 (Tennessee) | Primary |
| Entity Name | Sweetwater Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629077532 PECOS PAC ID: 6608773775 Enrollment ID: O20040518001141 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Algianon Moses Jeffero, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: () - | Algianon Moses Jeffero, MD 9400 Rhea County Hwy, Dayton, TN 37321-7922 Ph: (423) 775-1121 |
Edmund Lane, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9400 Rhea County Hwy, Dayton, TN 37321 Phone: 423-775-1121 Fax: 865-291-3228 | |
Karen Letha Whittaker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9400 Rhea County Hwy, Dayton, TN 37321 Phone: 423-775-1121 Fax: 865-291-3228 |