| Andrew Hayward Lundberg, MD | |
|
235 Tyson Ave, Paris, TN 38242-4544 | |
| (731) 644-3211 | |
| (731) 644-1552 |
| Full Name | Andrew Hayward Lundberg |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 31 Years |
| Location | 235 Tyson Ave, Paris, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770509705 | NPI | - | NPPES |
| P00113129 | Other | TN | RAILROAD MEDICARE INDIVID |
| DB4003 | Other | TN | RAILROAD MEDICARE GROUP |
| 3881424 | Medicaid | TN | |
| 4075410 | Other | TN | BLUECROSSBLUESHIELD NUMBR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD29285 (Tennessee) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | MD29285 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry County Medical Center | Paris, TN | Hospital |
| Jackson Purchase Medical Center | Mayfield, KY | Hospital |
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paris Surgical Specialists Pllc | 3274525092 | 4 |
| Pinelake Physician Practice Llc | 6800797507 | 38 |
| Entity Name | Paris Surgical Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790701654 PECOS PAC ID: 3274525092 Enrollment ID: O20040401000540 |
| Entity Name | Southern Pain And Regenerative Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841799707 PECOS PAC ID: 2769733377 Enrollment ID: O20180920002187 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Hayward Lundberg, MD 235 Tyson Ave, Paris, TN 38242-4544 Ph: (731) 644-3211 | Andrew Hayward Lundberg, MD 235 Tyson Ave, Paris, TN 38242-4544 Ph: (731) 644-3211 |
Dr. Jason Louis Harper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Tyson Ave, Paris, TN 38242 Phone: 731-644-3211 Fax: 731-644-1552 | |
Raymond Powell Compton, Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Tyson Ave, Paris, TN 38242 Phone: 731-644-3211 Fax: 731-644-1552 | |
Russell Wayne Boyd, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Tyson Ave, Paris, TN 38242 Phone: 731-644-3211 Fax: 731-644-1552 | |
Dr. Stephen Anthony Phillips, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 235 Tyson Ave, Paris, TN 38242 Phone: 731-644-3211 |