| Dr Walter John Jermakowicz, MD, PHD | |
|
105 S Willow Ave, Cookeville, TN 38501-4667 | |
| (931) 372-7716 | |
| (931) 372-7717 |
| Full Name | Dr Walter John Jermakowicz |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 14 Years |
| Location | 105 S Willow Ave, Cookeville, 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 |
|---|---|---|---|
| 1922369750 | NPI | - | NPPES |
| Q054619 | Medicaid | TN | |
| 58744 | Other | TN | TENNESSEE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 58744 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Cumberland Medical Center | Crossville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Campbell Clinic Pc | 9638082076 | 193 |
| Entity Name | Campbell Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20040615000216 |
| Entity Name | West Tennessee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter John Jermakowicz, MD, PHD 105 S Willow Ave, Cookeville, TN 38501-4667 Ph: (931) 372-7716 | Dr Walter John Jermakowicz, MD, PHD 105 S Willow Ave, Cookeville, TN 38501-4667 Ph: (931) 372-7716 |
Dr. Joseph A Jestus, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 S Willow Ave, Suite 200, Cookeville, TN 38501 Phone: 931-372-7716 Fax: 931-525-1066 |