| Dr Gregory J Nieckula, DO | |
|
1238 Taft Highway, Suite 170, Signal Mountain, TN 37377-3295 | |
| (423) 886-2004 | |
| (423) 886-7803 |
| Full Name | Dr Gregory J Nieckula |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 1238 Taft Highway, Signal Mountain, 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 |
|---|---|---|---|
| 1164716734 | NPI | - | NPPES |
| Q005749 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2524 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Guardian Home Care, Llc | Chattanooga, TN | Home health agency |
| Chi Memorial Health At Home | Chattanooga, TN | Home health agency |
| Hearth, Llc | Chattanooga, TN | Hospice |
| Erlanger Medical Center | Chattanooga, TN | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Alexian Village Of Tennessee | Signal mountain, TN | Nursing home |
| Woodland Terrace Care And Rehab | Chattanooga, TN | Nursing home |
| Elk River Health And Rehabilitation Of Winchester | Winchester, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brownsville Medical Clinic, P.a. | 0547339772 | 61 |
| Bh Services Southeast 1 Pc | 7012457054 | 96 |
| Erlanger Health | 1153780226 | 502 |
| Chattanooga Hamilton County Hospital Authority | 0547179731 | 179 |
| Entity Name | En Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548829187 PECOS PAC ID: 4385989557 Enrollment ID: O20190904002371 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory J Nieckula, DO 1238 Taft Highway, Suite 170, Signal Mountain, TN 37377-3295 Ph: (423) 886-2004 | Dr Gregory J Nieckula, DO 1238 Taft Highway, Suite 170, Signal Mountain, TN 37377-3295 Ph: (423) 886-2004 |
Dr. John D. Cranwell, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2600 Taft Highway, Suite 100, Signal Mountain, TN 37377 Phone: 423-778-9434 Fax: 423-778-9433 | |
Ivey Williamson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 37 Old Riding Way, Signal Mountain, TN 37377 Phone: 423-322-8393 |