| Dr Kevin Eric Stasney, MD | |
|
110 Hospital Dr, Jefferson City, TN 37760-5281 | |
| (865) 471-2500 | |
| Not Available |
| Full Name | Dr Kevin Eric Stasney |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 110 Hospital Dr, Jefferson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437199205 | NPI | - | NPPES |
| 3082544 | Medicaid | TN | |
| 3082547 | Medicaid | TN | |
| 4091253 | Other | TN | BLUE CROSS |
| P00277762 | Other | TN | RRGA |
| 7100005490 | Medicaid | KY | |
| P00290274 | Other | TN | RRGA |
| 4091349 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD24689 (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 | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Family Medicine West Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083962815 PECOS PAC ID: 7618126608 Enrollment ID: O20121008000403 |
| Entity Name | Leconte Orthopedics, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235552381 PECOS PAC ID: 8325266141 Enrollment ID: O20140820000622 |
| Entity Name | App Of East Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326695537 PECOS PAC ID: 6800127796 Enrollment ID: O20191007003318 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Eric Stasney, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: () - | Dr Kevin Eric Stasney, MD 110 Hospital Dr, Jefferson City, TN 37760-5281 Ph: (865) 471-2500 |
Dr. Justin B. Mcgoldrick, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Dr, Jefferson City, TN 37760 Phone: 865-471-2500 | |
Dr. Steven Todd Sheedlo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 657 E Broadway Blvd, Ste. C, Jefferson City, TN 37760 Phone: 865-475-9062 Fax: 865-475-9063 | |
Dr. Nathan Roger Gilbert, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 110 Hospital Dr, Jefferson City, TN 37760 Phone: 865-471-2500 Fax: 865-539-8008 | |
Dr. Joshua Porter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Dr, Jefferson City, TN 37760 Phone: 865-471-2500 |