Dr Justin G Perdue, MD | |
590 Medical Center Road, Fort Cavazos, TX 76544 | |
(423) 483-9293 | |
Not Available |
Full Name | Dr Justin G Perdue |
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Gender | Male |
Speciality | Family Medicine |
Location | 590 Medical Center Road, Fort Cavazos, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336709989 | NPI | - | NPPES |
61988 | Other | TN | TN STATE LICENSE |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 61988 (Tennessee) | Primary |
Entity Name | Tanana Valley Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
Mailing Address | Practice Location Address |
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Dr Justin G Perdue, MD 4076 Neely Rd, Bassett Army Community Hospital, Usa Meddac-ak Attn: Mcuc-mmd-qm (credentials), Fort Wainwright, AK 99703-7440 Ph: (423) 483-9293 | Dr Justin G Perdue, MD 590 Medical Center Road, Fort Cavazos, TX 76544 Ph: (423) 483-9293 |
Dr. Caitlyn Mae Rerucha, MD, MSED, FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-288-8280 | |
Dr. Wayne Arthur Schirner, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: Carl R. Darnall Army Medical Center, 36000 Darnall Loop, Fort Cavazos, TX 76544 Phone: 254-288-8304 Fax: 254-288-8479 | |
Dr. Meghan Frances Raleigh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Drive, Carl R Darnall Army Medical Center, Fort Cavazos, TX 76544 Phone: 254-553-6254 | |
Dr. John Brooke Shehan Iii, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 390 Medical Center Road, Carl R Darnall Army Medical Center, Fort Cavazos, TX 76544 Phone: 254-553-0627 | |
Dr. Lauren Williams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-553-5108 Fax: 254-553-3031 | |
Kathryn Oppenlander, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Rd, Fort Cavazos, TX 76544 Phone: 254-288-8280 |