| Dr Ralph H Ruckle, MD | |
|
103 Redbud Dr, Suite C, Portland, TN 37148-1617 | |
| (615) 325-7337 | |
| (615) 325-0164 |
| Full Name | Dr Ralph H Ruckle |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 103 Redbud Dr, Portland, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790770378 | NPI | - | NPPES |
| 2000371 | Other | TN | BCBS OF TENNESSEE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD9576 (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 Ralph H Ruckle, MD 103 Redbud Dr, Suite C, Portland, TN 37148-1617 Ph: (615) 325-7337 | Dr Ralph H Ruckle, MD 103 Redbud Dr, Suite C, Portland, TN 37148-1617 Ph: (615) 325-7337 |
Dr. Michael Dean Littell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway, Portland, TN 37148 Phone: 615-325-3100 Fax: 615-325-0076 | |
Dr. John A Taylor, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 307 S Broadway, Portland, TN 37148 Phone: 615-325-6755 Fax: 615-325-6936 | |
Mrs. Ronda M Worsham, RNMSNCS FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Redbud Dr Ste E, Portland, TN 37148 Phone: 615-325-1206 Fax: 615-325-1245 | |
Pepito Salcedo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 Redbud Dr, Suite E, Portland, TN 37148 Phone: 615-325-1206 Fax: 615-325-1245 | |
Timothy C Kuntz, P.A. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway St, Portland, TN 37148 Phone: 615-323-9158 | |
Dr. Nicole Beall Jaques, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Redbud Dr, Emergency Department, Portland, TN 37148 Phone: 615-745-8150 |