Dr Deaver T Shattuck, MD - Medicare Internal Medicine in Maryville, TN

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Dr Deaver T Shattuck, MD is a medicare enrolled "Internal Medicine" physician in Maryville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Blount Memorial Physician Group Inc, House Call Primary Care, Pllc, Madisonville Primary Care Group and his current practice location is 907 E Lamar Alexander Pkwy, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 980-4897.

Dr Deaver T Shattuck is licensed to practice in Tennessee (license number MD0000027892) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013985407.

Contact Information

Dr Deaver T Shattuck, MD
907 E Lamar Alexander Pkwy,
Maryville, TN 37804-5015
(865) 980-4897
(865) 977-4722

Map and Direction




Physician's Profile

Full NameDr Deaver T Shattuck
GenderMale
SpecialityInternal Medicine
Experience32 Years
Location907 E Lamar Alexander Pkwy, Maryville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Deaver T Shattuck attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1992
  NPI Data:
  • NPI Number: 1013985407
  • Provider Enumeration Date: 03/10/2006
  • Last Update Date: 08/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587569157
  • Enrollment ID: I20031205000421

Medical Identifiers

Medical identifiers for Dr Deaver T Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013985407NPI-NPPES
3803577MedicaidTN
3803574MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist MD0000027892 (Tennessee)Secondary
207R00000XInternal Medicine MD0000027892 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intrepid Usa Healthcare ServicesSweetwater, TNHome health agency
Caris HealthcareKnoxville, TNHospice
Blount Memorial HospitalMaryville, TNHospital
Fort Sanders Regional Medical CenterKnoxville, TNHospital
West Hills Health And RehabKnoxville, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blount Memorial Physician Group Inc6406844174242
House Call Primary Care, Pllc842636193219
Madisonville Primary Care Group65070376456

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Deaver T Shattuck allows following entities to bill medicare on his behalf.
Entity NameBlount Memorial Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547
Entity NameBlount Senior Care Partners, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750639241
PECOS PAC ID: 4486801982
Enrollment ID: O20120905000362
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameHouse Call Primary Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578956710
PECOS PAC ID: 8426361932
Enrollment ID: O20150713001953

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Deaver T Shattuck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Deaver T Shattuck, MD
103 W Broadway Ave,
Maryville, TN 37801-4703

Ph: (865) 273-1752		Dr Deaver T Shattuck, MD
907 E Lamar Alexander Pkwy,
Maryville, TN 37804-5015

Ph: (865) 980-4897

Reviews and Comments


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Dr. Joseph Duane Payne, M.D.
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Dr. Michael John Coffey, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.