| Guy Franklin Fain Iii, MD | |
|
10 Prentice Ln, Signal Mountain, TN 37377-2037 | |
| (423) 605-0629 | |
| (423) 517-0017 |
| Full Name | Guy Franklin Fain Iii |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10 Prentice Ln, Signal Mountain, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184653453 | NPI | - | NPPES |
| P00201541 | Other | TN | RAILROAD MEDICARE |
| 3001403 | Medicaid | TN | |
| 000614083B | Medicaid | GA | |
| 4150076 | Other | TN | BLUE CROSS |
| 3133610 | Other | TN | BCBS OF TENNESSEE |
| 3001404 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD14797 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | MD14797 (Tennessee) | Primary |
| Entity Name | Amg-southern Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Guy Franklin Fain Iii, MD 10 Prentice Ln, Signal Mountain, TN 37377-2037 Ph: (423) 605-0629 | Guy Franklin Fain Iii, MD 10 Prentice Ln, Signal Mountain, TN 37377-2037 Ph: (423) 605-0629 |
Robert Newman Anfield, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Gentlemens Rdg, Signal Mountain, TN 37377 Phone: 423-488-9138 | |
Mrs. Sonia Sue Bible, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1278 Us 127, Lone Oak Free Health Clinic, Signal Mountain, TN 37377 Phone: 423-886-4040 Fax: 423-886-7250 | |
Chelsea Ryan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1238 Taft Hwy Ste 170, Signal Mountain, TN 37377 Phone: 423-886-2004 Fax: 423-886-7803 |