Fabian Philemon Ngido, MD | |
1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 | |
(931) 783-2770 | |
(931) 525-1176 |
Full Name | Fabian Philemon Ngido |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1 Medical Center Blvd, Cookeville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528354768 | NPI | - | NPPES |
7100423680 | Medicaid | KY | |
Q006501 | Medicaid | TN | |
6017806 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 51472 (Tennessee) | Primary |
Entity Name | Cookeville Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275531956 PECOS PAC ID: 7810805736 Enrollment ID: O20040921001310 |
Mailing Address | Practice Location Address |
---|---|
Fabian Philemon Ngido, MD 140 W 7th St, Cookeville, TN 38501-1726 Ph: (931) 783-5582 | Fabian Philemon Ngido, MD 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 Ph: (931) 783-2770 |
Yvonne Mcmahon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 W Broad St, Cookeville, TN 38501 Phone: 931-528-1485 | |
Mrs. Mary Caroline Loghry, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-1485 Fax: 931-526-4233 | |
Mr. Christopher Parish Dill, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 315 N Washington Ave Ste 160, Cookeville, TN 38501 Phone: 931-526-1604 Fax: 931-526-7154 | |
James Howard Batson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-1485 Fax: 931-526-4233 | |
Leslie Mooney Treece, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-1485 Fax: 931-526-4233 | |
Kim Langley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501 Phone: 931-783-2770 Fax: 931-525-1176 |