| George Michael Lodeiro, MD | |
|
460 Medical Park Dr Ste 104, Lenoir City, TN 37772-5782 | |
| (865) 562-3232 | |
| (865) 317-1115 |
| Full Name | George Michael Lodeiro |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 460 Medical Park Dr Ste 104, Lenoir City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184150930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 65808 (Tennessee) | Primary |
| Entity Name | Innovative Vascular, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124750765 PECOS PAC ID: 9335523802 Enrollment ID: O20220901000458 |
| Entity Name | Apex Vascular Outpatient Center |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467216457 PECOS PAC ID: 1951747922 Enrollment ID: O20240313000316 |
| Mailing Address | Practice Location Address |
|---|---|
| George Michael Lodeiro, MD 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 Ph: (865) 305-9230 | George Michael Lodeiro, MD 460 Medical Park Dr Ste 104, Lenoir City, TN 37772-5782 Ph: (865) 562-3232 |
Wahid John Abadier, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 576 Fort Loudoun Medical Center Dr, Suite 101, Lenoir City, TN 37772 Phone: 865-271-6566 Fax: 865-271-6566 | |
Dr. Benjamin M Pardue, DO Surgery Medicare: Medicare Enrolled Practice Location: 689 Medical Park Dr Ste 101, Lenoir City, TN 37772 Phone: 865-271-6580 Fax: 865-374-1147 | |
Dr. John Henry Eason Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 460 Medical Park Dr Ste 106, Lenoir City, TN 37772 Phone: 865-988-4452 Fax: 865-988-6293 | |
Dr. David Bernard Staab, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 576 Fort Loudoun Medical Center Dr, #101, Lenoir City, TN 37772 Phone: 865-690-5263 |