| Dr Lori M Proctor, MD | |
|
5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | |
| (615) 695-4977 | |
| Not Available |
| Full Name | Dr Lori M Proctor |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 25 Years |
| Location | 5301 Virginia Way, Brentwood, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184634214 | NPI | - | NPPES |
| 55427 | Other | GA | GA |
| 164669500 | Other | TN | BLACK LUNG |
| 164669500 | Other | TN | DOL |
| 675737865 | Medicaid | GA | |
| 4149079 | Other | TN | BCBS OF TN |
| 41842 | Other | TN | TN |
| 3000029 | Medicaid | TN | |
| 8272039 | Other | TN | CIGNA |
| 52207348 | Other | GA | BCBS OF GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 41842 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkridge Medical Center | Chattanooga, TN | Hospital |
| Rhea Medical Center | Dayton, TN | Hospital |
| Cumberland Medical Center | Crossville, TN | Hospital |
| Erlanger Medical Center | Chattanooga, TN | Hospital |
| Roane Medical Center | Harriman, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Pathologists Llc | 0648167544 | 106 |
| Associated Pathologists Llc | 0648167544 | 106 |
| Entity Name | Associated Pathologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003863580 PECOS PAC ID: 0648167544 Enrollment ID: O20040920000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lori M Proctor, MD 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 Ph: (615) 695-4977 | Dr Lori M Proctor, MD 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 Ph: (615) 695-4977 |
Kathy Bruner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Kenneth S Piech, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Roy W. Kirchberg Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Lori D Emerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-695-4977 | |
Ben W Davis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Randall L Woodford, MD Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Harry Karrick Daugherty Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 |