| Gregory Micklow, MD | |
|
100 Northcrest Dr, Springfield, TN 37172-3927 | |
| (931) 647-5034 | |
| (931) 552-6663 |
| Full Name | Gregory Micklow |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 100 Northcrest Dr, Springfield, 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 |
|---|---|---|---|
| 1154365518 | NPI | - | NPPES |
| 196453355 | Other | FL | CHAMPUS |
| 06040 | Other | FL | BLUE SHIELD OF FL |
| 264082100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 81596 (Florida) | Primary |
| 207P00000X | Emergency Medicine | 45339 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | Hospital |
| Saint Thomas Rutherford Hospital | Murfreesboro, TN | Hospital |
| Dekalb Community Hospital | Smithville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middle Tennessee Emergency Physicians, P.c. | 3678464526 | 77 |
| Entity Name | Middle Tennessee Emergency Physicians, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194758979 PECOS PAC ID: 3678464526 Enrollment ID: O20040322001049 |
| Entity Name | Emergency Medicine Services Of Tn, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Micklow, MD Po Box 305172, Dept # 109, Nashville, TN 37230-5172 Ph: (931) 647-5034 | Gregory Micklow, MD 100 Northcrest Dr, Springfield, TN 37172-3927 Ph: (931) 647-5034 |
Love Anani, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1536 | |
Dr. Amber Allen Barry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411 | |
Eric V. Morris, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1536 | |
Andrew Judson Panos, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411 | |
David W Lawhorn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Northcrest Drive, Northcrest Medical Center, Ed Department, Springfield, TN 37172 Phone: 931-647-5034 Fax: 931-552-6663 | |
Reagan Fossler, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6659 Bethlehem Rd, Springfield, TN 37172 Phone: 615-878-0568 |