| Dr Donald Charles Correll, MD | |
|
708 W Forest Ave, Jackson, TN 38301-3901 | |
| (731) 425-6280 | |
| (731) 425-4922 |
| Full Name | Dr Donald Charles Correll |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 708 W Forest Ave, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013995547 | NPI | - | NPPES |
| 3024304 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD17640 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | ME118552 (Florida) | Primary |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Charles Correll, MD Po Box 3788, Jackson, TN 38303-3788 Ph: (731) 425-6280 | Dr Donald Charles Correll, MD 708 W Forest Ave, Jackson, TN 38301-3901 Ph: (731) 425-6280 |
John Hayes, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8755 Fax: 731-660-8739 | |
Dr. William Tyler Hayden, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-343-0886 | |
Dr. Keith Alden Mosher Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301 Phone: 731-256-0526 Fax: 731-256-1720 | |
Jim C Craig Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Gloria Laws, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3784 | |
Jay Gordon Shires, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-265-8355 |