| George Vernon Pegram Iii, MD | |
|
304 Wright St, Sweetwater, TN 37874-1181 | |
| (865) 213-8401 | |
| (865) 213-8596 |
| Full Name | George Vernon Pegram Iii |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 304 Wright St, Sweetwater, 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 |
|---|---|---|---|
| 1699888008 | NPI | - | NPPES |
| 6087267 | Other | TN | BLUE CROSS BLUE SHIELD |
| 51046869 | Other | AL | BLUE CROSS BLUE SHIELD |
| 009918220 | Medicaid | AL | |
| Q026242 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 21971 (Alabama) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD55106 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Women's Healthcare | 3971828278 | 9 |
| Entity Name | Decatur Women's Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023423605 PECOS PAC ID: 3971828278 Enrollment ID: O20150209000698 |
| Mailing Address | Practice Location Address |
|---|---|
| George Vernon Pegram Iii, MD 304 Wright St, Sweetwater, TN 37874-1181 Ph: (865) 213-8401 | George Vernon Pegram Iii, MD 304 Wright St, Sweetwater, TN 37874-1181 Ph: (865) 213-8401 |
David J Creutzinger, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 304 Church St, Sweetwater, TN 37874 Phone: 865-213-8592 Fax: 865-213-8596 | |
John Robert Ameen, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 304 Church St, Sweetwater, TN 37874 Phone: 865-213-8592 Fax: 865-213-8596 | |
Ashlin Martin Paz, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 304 Wright St, Sweetwater, TN 37874 Phone: 865-213-8592 | |
Dr. Michele Lynn Tate, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 304 Wright St, Sweetwater, TN 37874 Phone: 865-213-8401 Fax: 865-213-8596 |