| Dr Jennifer A Mozingo, MD | |
|
990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | |
| (865) 481-1000 | |
| Not Available |
| Full Name | Dr Jennifer A Mozingo |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 990 Oak Ridge Tpke, Oak Ridge, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710928395 | NPI | - | NPPES |
| 4088255 | Other | TN | BLUE CROSS |
| P00317398 | Other | TN | RAILROAD MEDICARE |
| 3897724 | Medicaid | TN | |
| P00231577 | Other | TN | RRGA |
| 4107831 | Other | TN | BLUE CROSS |
| 3897723 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 38716 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Legacy Vein Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477972933 PECOS PAC ID: 2264727627 Enrollment ID: O20160824000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer A Mozingo, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: () - | Dr Jennifer A Mozingo, MD 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 Ph: (865) 481-1000 |
Elizabeth Ann Rees, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-835-3408 | |
Dr. James Alex Eppert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1000 | |
Jeffrey M. Zurosky, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1000 | |
Dr. John Philip Mesmer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1000 | |
George Alden Swanson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1000 | |
Dr. Erik Christian Petersen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1000 |