| Dr Randal L Dabbs, MD | |
|
1901 W Clinch Ave, Knoxville, TN 37916-2307 | |
| (865) 541-1111 | |
| Not Available |
| Full Name | Dr Randal L Dabbs |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1901 W Clinch Ave, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326095035 | NPI | - | NPPES |
| P00384361 | Other | TN | RAILROAD MEDICARE |
| 2004772000 | Medicaid | WV | |
| 3816671 | Medicaid | TN | |
| 00123519 | Medicaid | MS | |
| 000000293133 | Other | KY | BLUE CROSS |
| 3112581 | Other | TN | BLUE CROSS |
| 5M433 | Other | AR | BLUE CROSS |
| 1383V | Other | NC | BLUE CROSS |
| 3816673 | Medicaid | TN | |
| 5901029 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD010273 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050407000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randal L Dabbs, MD Po Box 634706, Cincinnati, OH 45263-4706 Ph: (865) 292-3000 | Dr Randal L Dabbs, MD 1901 W Clinch Ave, Knoxville, TN 37916-2307 Ph: (865) 541-1111 |
Stephen Holtzclaw, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919 Phone: 865-293-5310 | |
Dr. Robert Lembersky, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8485 | |
Georganna Michelle Rosel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Dr. Thomas J Demaro, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5823 Apple Valley Dr, Knoxville, TN 37924 Phone: 561-334-3774 | |
Dr. Julie W Jeter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U67, Knoxville, TN 37920 Phone: 865-305-9350 Fax: 865-305-8681 | |
Dr. Robert K. Dickson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8000 | |
Dr. Joseph Tucker Montgomery, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 528 Dixon Rd, Knoxville, TN 37934 Phone: 865-604-3476 Fax: 865-675-0833 |