| Dr Douglas Ray Carpenter Jr, MD | |
|
100 Lantana Road, Suite 202, Crossville, TN 38555-1903 | |
| (931) 484-5141 | |
| (931) 484-5620 |
| Full Name | Dr Douglas Ray Carpenter Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 100 Lantana Road, Crossville, 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 |
|---|---|---|---|
| 1093818635 | NPI | - | NPPES |
| 080059056 | Other | RAILROAD MEDICARE | |
| 3084713 | Medicaid | TN | |
| 3072543 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD17544 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Quality Home Health | Jamestown, TN | Home health agency |
| Cumberland Medical Center | Crossville, TN | Hospital |
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group Inc | 2860305463 | 301 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Ray Carpenter Jr, MD 100 Lantana Road, Suite 202, Crossville, TN 38555-1903 Ph: (931) 484-5141 | Dr Douglas Ray Carpenter Jr, MD 100 Lantana Road, Suite 202, Crossville, TN 38555-1903 Ph: (931) 484-5141 |
Dr. Ronald James Varcak, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061 | |
Dr. Lisa Payne Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 57 W Adams St, Crossville, TN 38555 Phone: 931-787-1950 Fax: 931-787-1953 | |
Paul Clifford Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd Ste 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 865-374-2074 | |
Beatrice L. Durham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 South Main St., Crossville, TN 38555 Phone: 931-484-2879 | |
Mr. Garland A Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5141 | |
Dr. Richard Matthew Buurman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515 |