| Dr Lawrence L Bushkell Jr, MD | |
|
2018 Western Ave, Knoxville, TN 37921-5718 | |
| (865) 544-0406 | |
| (865) 544-0480 |
| Full Name | Dr Lawrence L Bushkell Jr |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 2018 Western Ave, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376501544 | NPI | - | NPPES |
| 3376258 | Medicaid | TN | |
| 0015500 | Other | TN | BLUE CROSS |
| 4034509 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 13438 (Tennessee) | Secondary |
| 207N00000X | Dermatology | 13438 (Tennessee) | Primary |
| Entity Name | Cherokee Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence L Bushkell Jr, MD 1923 Sulphur Springs Rd, Morristown, TN 37813-5654 Ph: (423) 317-9344 | Dr Lawrence L Bushkell Jr, MD 2018 Western Ave, Knoxville, TN 37921-5718 Ph: (865) 544-0406 |
Dr. Drew Wilson Miller, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1928 Alcoa Hwy, Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-219-5070 | |
Dr. Matthew C Hanggi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Fox Rd, Knoxville, TN 37922 Phone: 865-690-9467 Fax: 865-637-5057 | |
Elizabeth Brittian Anderson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6516 Kingston Pike, Knoxville, TN 37919 Phone: 865-450-9361 Fax: 865-450-9362 | |
Sandra Vaughn, NP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-524-0224 | |
Anne Elizabeth Allen, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-205-5601 | |
Mr. Marcus Rene Ortiz Jr., PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909 Phone: 865-524-2547 Fax: 865-205-5601 | |
Dr. Edward John Primka Iii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909 Phone: 865-524-2547 Fax: 865-205-5601 |