| Eugene D Eddlemon, MD | |
|
2253 Chambliss Ave., Ste. 401, Cleveland, TN 37311 | |
| (423) 267-0466 | |
| (423) 778-5177 |
| Full Name | Eugene D Eddlemon |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 2253 Chambliss Ave., Cleveland, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871525477 | NPI | - | NPPES |
| G68376 | Other | CA | BLUE CROSS/SHIELD, ETC. |
| Q090231 | Medicaid | TN | |
| 00G683761 | Medicaid | CA | |
| 94-3365249 | Other | CA | PRIVATE PAYERS |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1770905994 PECOS PAC ID: 9739092388 Enrollment ID: O20140421000286 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164885604 PECOS PAC ID: 9739092388 Enrollment ID: O20160511001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene D Eddlemon, MD 979 E 3rd Street, Ste. 300, Chattanooga, TN 37403-2187 Ph: (423) 267-0466 | Eugene D Eddlemon, MD 2253 Chambliss Ave., Ste. 401, Cleveland, TN 37311 Ph: (423) 267-0466 |
Dr. Jacqueline Jeanette Carter Gustafson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 Westside Dr Nw Ste 204, Cleveland, TN 37312 Phone: 423-244-9270 Fax: 423-244-9255 |
Joshua Worthington, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2175 Chambliss Ave Nw Ste D, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523 |
William Frank Johnson Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2253 Chambliss Ave Nw, Suite 100, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523 |
Shannon Beierle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2175 Chambliss Ave Nw Ste D, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523 |
John Boxberger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2175 Chambliss Ave Nw Ste D, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523 |
James L Knabb, MD Surgery Medicare: Medicare Enrolled Practice Location: 2301 N Ocoee Street, Suite B, Cleveland, TN 37311 Phone: 423-479-9647 Fax: 423-479-2216 |
Eston K. Wenger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2253 Chambliss Ave Nw Ste 100, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523 |