| James W Shore, MD | |
|
117 Kennedy Dr, Martin, TN 38237-3394 | |
| (731) 587-9511 | |
| (877) 309-6416 |
| Full Name | James W Shore |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 61 Years |
| Location | 117 Kennedy Dr, Martin, 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 |
|---|---|---|---|
| 1790784106 | NPI | - | NPPES |
| 712671 | Other | WELLCARE | |
| 3005840 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3005840 | Other | TN | BCBS |
| 3144167 | Medicaid | TN | |
| 4482791 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD5113 (Tennessee) | Primary |
| Entity Name | Martin Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629740758 PECOS PAC ID: 9436127008 Enrollment ID: O20040921001035 |
| Mailing Address | Practice Location Address |
|---|---|
| James W Shore, MD 117 Kennedy Dr, Martin, TN 38237-3309 Ph: (731) 587-9511 | James W Shore, MD 117 Kennedy Dr, Martin, TN 38237-3394 Ph: (731) 587-9511 |
Dr. Kenneth W Carr, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Mount Pelia Rd, Martin, TN 38237 Phone: 731-587-5353 | |
Audie B Marlar Jr., PA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Kennedy Dr, Martin, TN 38237 Phone: 731-587-9511 Fax: 731-587-0785 | |
Susan S Lowry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Kennedy Dr, Martin, TN 38237 Phone: 731-587-9511 Fax: 877-309-6416 | |
Cynthia Raines Swaim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 149 Commons Dr, Martin, TN 38237 Phone: 731-422-0213 Fax: 731-506-1863 |