| Dr Michael C Diaz, MD | |
|
105 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-6424 | |
| (615) 822-6716 | |
| (615) 822-9805 |
| Full Name | Dr Michael C Diaz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 105 Glen Oak Blvd, Hendersonville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427040021 | NPI | - | NPPES |
| 3014073 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD16303 (Tennessee) | Primary |
| Entity Name | Sumner Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720572209 PECOS PAC ID: 8820283260 Enrollment ID: O20101112000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael C Diaz, MD 105 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-6424 Ph: (615) 822-6716 | Dr Michael C Diaz, MD 105 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-6424 Ph: (615) 822-6716 |
Mosunmola Adebowale Ademosu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075 Phone: 615-338-1000 | |
Hailu T Kabtimer, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 919 W Main St M3, Hendersonville, TN 37075 Phone: 615-826-2102 Fax: 615-826-2743 | |
Mr. Scott Alan Hande, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 Phone: 615-826-0710 Fax: 615-826-0910 | |
Jung H. Lee, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd, #300c, Hendersonville, TN 37075 Phone: 615-338-3337 Fax: 615-338-3329 | |
Dr. Arslan Shaukat, M.B.B.S Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd Ste 300c, Hendersonville, TN 37075 Phone: 615-824-0043 Fax: 615-822-1690 | |
Dr. Marshall R Johnson Jr., MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075 Phone: 615-338-1000 Fax: 615-338-1101 | |
Paul S Daugherty, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 107 Imperial Blvd, Suite 5, Hendersonville, TN 37075 Phone: 615-826-3111 Fax: 615-826-3112 |