| Charles T Huddleston, MD | |
|
203 N Cedar Ave, Cookeville, TN 38501 | |
| (931) 528-1992 | |
| (931) 526-4381 |
| Full Name | Charles T Huddleston |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 203 N Cedar Ave, Cookeville, 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 |
|---|---|---|---|
| 1609805431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 038564 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 0101237006 (Virginia) | Secondary |
| 208600000X | Surgery | MD38564 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middle Tennessee Surgical Specialists, Llc | 9133014707 | 8 |
| Entity Name | Middle Tennessee Surgical Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134212640 PECOS PAC ID: 9133014707 Enrollment ID: O20040220001055 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T Huddleston, MD 203 N Cedar Ave, Cookeville, TN 38501-2498 Ph: (931) 528-1992 | Charles T Huddleston, MD 203 N Cedar Ave, Cookeville, TN 38501 Ph: (931) 528-1992 |
Mr. Michael Alexander Sywak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 W 4th St Ste 201, Cookeville, TN 38501 Phone: 931-783-4269 Fax: 931-372-0401 | |
Daniel Lee Howell Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 145 W 4th St Ste 201, Cookeville, TN 38501 Phone: 931-783-5515 | |
Chinmay Sarvottam Majmundar, M.D. F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 145 W 4th St Ste 102, Cookeville, TN 38501 Phone: 931-783-5515 | |
Dr. Dale E Douglas, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 County Services Dr, Cookeville, TN 38501 Phone: 931-528-2531 Fax: 931-526-7451 | |
Dr. George L Ivey Iii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 701 County Services Dr, Cookeville, TN 38501 Phone: 931-528-2531 Fax: 931-526-7453 | |
Dr. Eric Lee Wallace, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 145 W 4th St Ste 201, Cookeville, TN 38501 Phone: 931-783-5515 Fax: 931-783-5513 |