| Dr Meiklejohn Dane Mckenzie, DO | |
|
115 N Peachtree Ave, Cookeville, TN 38501-2546 | |
| (931) 783-5777 | |
| Not Available |
| Full Name | Dr Meiklejohn Dane Mckenzie |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 16 Years |
| Location | 115 N Peachtree Ave, Cookeville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417167768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | DO.996 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Vanderbilt Wilson County Hospital | Lebanon, TN | Hospital |
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| Tennova Healthcare-shelbyville | Shelbyville, TN | Hospital |
| Livingston Regional Hospital | Livingston, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Pathology Laboratory Llc | 7416860242 | 2 |
| Vivid Pathology Pa | 9133106784 | 11 |
| Entity Name | Community Pathology Laboratory Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366440570 PECOS PAC ID: 7416860242 Enrollment ID: O20031107000598 |
| Entity Name | Pathologists Laboratory Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568484582 PECOS PAC ID: 6204923329 Enrollment ID: O20071106000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Meiklejohn Dane Mckenzie, DO 115 N Peachtree Ave, Cookeville, TN 38501-2546 Ph: (931) 783-5777 | Dr Meiklejohn Dane Mckenzie, DO 115 N Peachtree Ave, Cookeville, TN 38501-2546 Ph: (931) 783-5777 |
Dr. Jason Scott Nolan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 115 N Peachtree Ave, Cookeville, TN 38501 Phone: 931-528-2836 | |
Timothy J Collins, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 115 N Peachtree Ave, Cookeville, TN 38501 Phone: 931-528-2836 Fax: 931-678-4827 |