| Dr Joshua Lidelle Hare, DO | |
|
6141 Shallowford Rd Ste 100, Chattanooga, TN 37421-1663 | |
| (423) 498-2000 | |
| (423) 498-2001 |
| Full Name | Dr Joshua Lidelle Hare |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 16 Years |
| Location | 6141 Shallowford Rd Ste 100, Chattanooga, 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 |
|---|---|---|---|
| 1811121924 | NPI | - | NPPES |
| 988220 | Other | GA | WELLCARE |
| P01363024 | Other | GA | RR MEDICARE |
| Q02347 | Medicaid | TN | |
| 003147609A | Medicaid | GA | |
| 02045387 | Other | GA | AMERIGROUP |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton Medical Center | Dalton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interventional Pain Consultants | 7416323514 | 11 |
| Interventional Pain Consultants | 7416323514 | 11 |
| Entity Name | Restoration Recovery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770011652 PECOS PAC ID: 2961777446 Enrollment ID: O20200929000932 |
| Entity Name | Elite Pain Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497267173 PECOS PAC ID: 4587924014 Enrollment ID: O20220713003461 |
| Entity Name | Interventional Pain Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174241145 PECOS PAC ID: 7416323514 Enrollment ID: O20230910000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua Lidelle Hare, DO 2550 Business Park Dr Ne, Cleveland, TN 37311-6503 Ph: (423) 605-8075 | Dr Joshua Lidelle Hare, DO 6141 Shallowford Rd Ste 100, Chattanooga, TN 37421-1663 Ph: (423) 498-2000 |
Mr. Donald H. Watters, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 6141 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-498-2000 Fax: 423-498-2001 | |
Laura J Goodman, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 921 E 3rd St, Chattanooga, TN 37403 Phone: 423-209-8350 | |
Dr. Janelle M Beville, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402 Phone: 423-634-5887 Fax: 423-634-3139 | |
Dr. Mckinley Snipes Lundy Sr., D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 Phone: 423-553-9675 Fax: 423-553-9677 | |
Dr. Jacqulyn Mayre Diggs, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4136 Mountain View Rd, Chattanooga, TN 37415 Phone: 423-876-0725 | |
Dr. Sanjivini Vishwas Jacob, M. D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 6141 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-498-2000 Fax: 423-498-2001 | |
Dr. Paula Christine Nicola, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste 240, Chattanooga, TN 37403 Phone: 423-243-3330 Fax: 423-648-6487 |