| Dr Desiree Lynn Roa, MD | |
|
2305 N Gateway Ave, Harriman, TN 37748-8665 | |
| (800) 805-6989 | |
| Not Available |
| Full Name | Dr Desiree Lynn Roa |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 2305 N Gateway Ave, Harriman, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477714442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD47725 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | MD0000047725 (Tennessee) | Primary |
| 207R00000X | Internal Medicine | 47725 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crossroads Treatment Centers Of Tennessee, Pc | 6204262025 | 9 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Entity Name | Crossroads Treatment Centers Of Tennessee, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316403405 PECOS PAC ID: 6204262025 Enrollment ID: O20200213002831 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Desiree Lynn Roa, MD 10820 Parkside Dr, 2nd Floor, Knoxville, TN 37934-1956 Ph: (865) 218-7972 | Dr Desiree Lynn Roa, MD 2305 N Gateway Ave, Harriman, TN 37748-8665 Ph: (800) 805-6989 |
Dr. Kent Emerson Latham, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 718 Morgan St, Harriman, TN 37748 Phone: 865-590-1032 Fax: 865-590-0070 | |
Dr. Samuel T. Harris, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8045 Roane Medical Center Dr, Harriman, TN 37748 Phone: 865-316-3375 | |
Randy Lee Denton Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1855 Tanner Way Ste 200, Harriman, TN 37748 Phone: 865-376-6272 Fax: 865-374-2100 |