| Dr Randall E Pearson, MD | |
|
800 Oak Ridge Turn Pike, Suite A-101, Oak Ridge, TN 37830-6927 | |
| (865) 483-1093 | |
| (865) 482-8629 |
| Full Name | Dr Randall E Pearson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 800 Oak Ridge Turn Pike, Oak Ridge, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639179682 | NPI | - | NPPES |
| 020247799 | Other | TN | EEOICP |
| 1669416442 | Other | TN | GROUP NPI |
| 3106049 | Other | TN | BLUE CROSS |
| 3025129 | Medicaid | TN | |
| CI2260 | Other | TN | RAILROAD MEDICARE |
| 3106044 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD0000014439 (Tennessee) | Primary |
| Entity Name | Tennessee Urology Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669416442 PECOS PAC ID: 7618952706 Enrollment ID: O20040622001531 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall E Pearson, MD 25 Crossroads Dr Ste 306, Owings Mills, MD 21117-5437 Ph: (443) 738-2872 | Dr Randall E Pearson, MD 800 Oak Ridge Turn Pike, Suite A-101, Oak Ridge, TN 37830-6927 Ph: (865) 483-1093 |
Christopher D Maull, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Oak Ridge Tpke Ste A101, Oak Ridge, TN 37830 Phone: 865-483-1093 | |
Dr. Stuart E Chasan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Oak Ridge Tpke, Suite A-101, Oak Ridge, TN 37830 Phone: 865-483-1093 Fax: 865-482-8629 | |
Dr. Michael L Douglas, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 New York Ave Ste 250, Oak Ridge, TN 37830 Phone: 865-835-5880 Fax: 865-374-2009 |