| Dr Micky L Busby, MD | |
|
317 W Gaines St, Lawrenceburg, TN 38464-3604 | |
| (931) 762-9665 | |
| (931) 766-0767 |
| Full Name | Dr Micky L Busby |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 317 W Gaines St, Lawrenceburg, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053392811 | NPI | - | NPPES |
| 3180810 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD11256 (Tennessee) | Primary |
| Entity Name | Express Med Of Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679534879 PECOS PAC ID: 3971896754 Enrollment ID: O20160801002765 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Micky L Busby, MD 317 W Gaines St, Lawrenceburg, TN 38464-3604 Ph: (931) 762-9665 | Dr Micky L Busby, MD 317 W Gaines St, Lawrenceburg, TN 38464-3604 Ph: (931) 762-9665 |
Robert Eric Jackson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 374 Brink St, Lawrenceburg, TN 38464 Phone: 931-762-6548 | |
Mrs. Frances Ann Berry Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 233 East Gaines St, Lawrenceburg, TN 38464 Phone: 931-762-1144 Fax: 931-766-0045 | |
Haresh H Khatri, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-5115 Fax: 931-762-5170 | |
Mr. Jayraj C Shah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-8588 Fax: 931-766-1010 | |
Dr. John Ramsey Ferguson, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1607 S Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-6571 | |
Alvin Maliakal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 184 Prosser Rd, Lawrenceburg, TN 38464 Phone: 931-762-1800 Fax: 931-762-9155 |