| Dr Daniel David Sumrok, MD | |
|
1894 Cedar St, 1301 Primacy Parkway, Mc Kenzie, TN 38201-2206 | |
| (731) 352-0603 | |
| (731) 352-0185 |
| Full Name | Dr Daniel David Sumrok |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1894 Cedar St, Mc Kenzie, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669461679 | NPI | - | NPPES |
| 207113001 | Medicaid | AR | |
| 3063617 | Medicaid | TN | |
| 03488833 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 21860 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | MD0000021860 (Tennessee) | Primary |
| Entity Name | Cedar Recovery Center Of Middle Tennessee, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801345285 PECOS PAC ID: 0446671440 Enrollment ID: O20200529001321 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel David Sumrok, MD 1894 Cedar St, Mc Kenzie, TN 38201-2206 Ph: (731) 352-0603 | Dr Daniel David Sumrok, MD 1894 Cedar St, 1301 Primacy Parkway, Mc Kenzie, TN 38201-2206 Ph: (731) 352-0603 |
Dr. Michael Lee Bryant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Dr. Terry Andrew Colotta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr, Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Joseph Robert Hames, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Dr. David Christopher Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 |