| Dr Richard J Depersio, MD | |
|
7557a Dannaher Dr, Suite 210, Powell, TN 37849-3558 | |
| (865) 521-8050 | |
| (865) 544-5216 |
| Full Name | Dr Richard J Depersio |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 51 Years |
| Location | 7557a Dannaher Dr, Powell, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457435794 | NPI | - | NPPES |
| 3710126 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 9089 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Tn Medical Center | Knoxville, TN | Hospital |
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Knoxville Ear Nose And Throat Associates Pc | 0244126126 | 18 |
| Champion Physical Therapy Llc Halls | 1355416306 | 191 |
| Entity Name | Greater Knoxville Ear Nose And Throat Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578647806 PECOS PAC ID: 0244126126 Enrollment ID: O20040226000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard J Depersio, MD 7557 Dannaher Way, Suite 210, Powell, TN 37849-3558 Ph: (865) 521-8050 | Dr Richard J Depersio, MD 7557a Dannaher Dr, Suite 210, Powell, TN 37849-3558 Ph: (865) 521-8050 |
Stewart H Bernard, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7557 Dannaher Dr Ste 210a, Powell, TN 37849 Phone: 865-521-8050 Fax: 865-947-7907 | |
Dr. Ronald K Sandberg, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 7557a Dannaher Dr, Suite 210, Powell, TN 37849 Phone: 865-521-8050 Fax: 865-544-5816 | |
Dr. Robert A Crawley, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 7557a Dannaher Dr, Suite 210, Powell, TN 37849 Phone: 865-521-8050 Fax: 865-544-5816 | |
Dr. Christopher J Rathfoot, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7557a Dannaher Dr, Suite 210, Powell, TN 37849 Phone: 865-521-8050 Fax: 865-544-5816 | |
Dr. Allan M Rosenbaum, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7557 A Dannaher Drive, Suite 210, Powell, TN 37849 Phone: 865-521-8050 Fax: 865-544-5816 | |
Sarah Kortebein, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7680 Dannaher Drive, Powell, TN 37849 Phone: 865-521-8050 Fax: 865-544-5816 |