| Dr William D Schenk, | |
|
1670 W Main St, Ste 100, Lebanon, TN 37087-1344 | |
| (615) 453-5155 | |
| (615) 444-5915 |
| Full Name | Dr William D Schenk |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1670 W Main St, Lebanon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306847009 | NPI | - | NPPES |
| 180003265 | Other | TN | PALMETTO GBA |
| 000047586 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3013671 | Other | TN | HEALTHSPRING |
| 000047586 | Other | TN | TENNCARE SELECT |
| 1238610001 | Other | TN | DMERC |
| 000047586 | Other | TN | BCBS ADVANTAGE |
| 3180072 | Other | TN | CIGNA |
| 3013671 | Medicaid | TN | |
| 4065477 | Other | TN | AETNA PPO |
| 621298175 | Other | TN | DEFAULT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 16211 (Tennessee) | Primary |
| 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 William D Schenk, 1670 W Main St, Ste100, Lebanon, TN 37087-1344 Ph: (615) 444-4516 | Dr William D Schenk, 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 Ph: (615) 453-5155 |
Randolph R Evans, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1670 W Main St, Ste100, Lebanon, TN 37087 Phone: 615-453-5155 Fax: 615-444-5915 | |
F Kirk Bowles, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1670 W Main St, Ste 100, Lebanon, TN 37087 Phone: 615-453-5155 Fax: 615-444-5915 |