| Dr John B Carraher, MD | |
|
28 Medical Center Dr, Jackson, TN 38301-3947 | |
| (731) 427-9971 | |
| (731) 424-2052 |
| Full Name | Dr John B Carraher |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 28 Medical Center Dr, 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 |
|---|---|---|---|
| 1689657967 | NPI | - | NPPES |
| 3837314 | Medicaid | TN | |
| 4061705 | Other | TN | BLUE CROSS BLUE SHIELD |
| 8706792 | Other | TN | CIGNA |
| 07080032 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD0000026150 (Tennessee) | Primary |
| Entity Name | Jackson Urological Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770566986 PECOS PAC ID: 5395728935 Enrollment ID: O20040612000367 |
| Entity Name | Ut Regional One Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John B Carraher, MD Po Box 1446, Dyersburg, TN 38025-1446 Ph: (731) 427-9971 | Dr John B Carraher, MD 28 Medical Center Dr, Jackson, TN 38301-3947 Ph: (731) 427-9971 |
Dr. Peter G Lawrence, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052 | |
John L Shaw Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 379 Hospital Blvd, Jackson, TN 38305 Phone: 731-240-1777 Fax: 731-427-9973 | |
Dr. Donald T Mcknight, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052 | |
James R Appleton Jr., MD Urology Medicare: Medicare Enrolled Practice Location: 616 W Forest Ave, Jackson, TN 38301 Phone: 731-422-0292 Fax: 731-422-0402 | |
Dr. David G. Burleson, M.D. Urology Medicare: Medicare Enrolled Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052 | |
Dr. Raymond C Howard, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052 |