| Dr Manuel Pouparina, MD | |
|
650 Joel Drive, Fort Campbell, KY 42223 | |
| (931) 431-2800 | |
| (615) 225-6864 |
| Full Name | Dr Manuel Pouparina |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 650 Joel Drive, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942240445 | NPI | - | NPPES |
| 051545593 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 72530 (Tennessee) | Primary |
| Entity Name | Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598788218 PECOS PAC ID: 1557324811 Enrollment ID: O20041201000952 |
| Entity Name | Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880 |
| Entity Name | Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891257390 PECOS PAC ID: 1557324811 Enrollment ID: O20200309002450 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manuel Pouparina, MD 650 Joel Dr, Fort Campbell, KY 42223-8355 Ph: (931) 431-2800 | Dr Manuel Pouparina, MD 650 Joel Drive, Fort Campbell, KY 42223 Ph: (931) 431-2800 |
Dr. Robert Burroughs Coutant, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-461-1562 | |
Dr. David Bruce Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-4677 Fax: 931-645-4705 | |
Dr. Mohamed Moataz Toban, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-5122 | |
Dr. Thomas Peter Dove, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8820 | |
Dr. Ian L Ferguson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Jennifer Linnea Bell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr., Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180 | |
Dr. Ferdinand K. Bacomo, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8017 |