| Dr Thomas Terrell, MD | |
|
110 Executive Park Dr, Clinton, TN 37716 | |
| (865) 494-9241 | |
| (865) 494-0895 |
| Full Name | Dr Thomas Terrell |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 110 Executive Park Dr, Clinton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083703003 | NPI | - | NPPES |
| 1522707 | Other | TN | MEDICAID PTAN UFP |
| P00923551 | Other | TN | RR MEDICARE UFP |
| 1522707 | Medicaid | TN | |
| 3373352 | Other | TN | MEDICARE GRP UFP |
| 103I083671 | Other | TN | MEDICARE PTAN UFP |
| 000352900 | Medicaid | FL | |
| 4278768 | Other | TN | BCBS TN UFP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 038858 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 038858 (Tennessee) | Primary |
| Entity Name | University Of Tennessee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295751386 PECOS PAC ID: 3072421213 Enrollment ID: O20040110000145 |
| Entity Name | Parkwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Terrell, MD 110 Executive Park Dr, Clinton, TN 37716-6876 Ph: (865) 494-9241 | Dr Thomas Terrell, MD 110 Executive Park Dr, Clinton, TN 37716 Ph: (865) 494-9241 |
Dr. Jose J Malagon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 Fax: 865-457-7178 | |
Dr. Gonzalo Rafael De Villa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 | |
Dr. Christopher Ryan Hagenson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 | |
Mary Hoehl, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 | |
Dr. John Thomas Daugherty, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 Fax: 865-494-2522 | |
Wendy Noelle May, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 Fax: 865-457-7178 |