| Clive Anderson Wasson, DO | |
|
83 Memorial Dr, Winchester, TN 37398 | |
| (931) 967-3966 | |
| (931) 962-0373 |
| Full Name | Clive Anderson Wasson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 83 Memorial Dr, Winchester, 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 |
|---|---|---|---|
| 1215372768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 3442 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amg-southern Tennessee Llc | 5991765943 | 47 |
| Entity Name | Amg-southern Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
| Mailing Address | Practice Location Address |
|---|---|
| Clive Anderson Wasson, DO 83 Memorial Dr, Winchester, TN 37398-2401 Ph: (931) 967-3966 | Clive Anderson Wasson, DO 83 Memorial Dr, Winchester, TN 37398 Ph: (931) 967-3966 |
Patrick Roddy Greer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 155 Hospital Rd, Suite D, Winchester, TN 37398 Phone: 931-967-8055 | |
Troy Andrew Hixson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 83 Memorial Dr, Winchester, TN 37398 Phone: 931-967-3966 Fax: 931-962-0373 | |
Dr. Damian T Szewczyk, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 83 Memorial Dr, Winchester, TN 37398 Phone: 931-967-3966 Fax: 931-962-0373 |