| Jack T Roberts Jr, MD | |
|
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | |
| (865) 980-4897 | |
| (865) 977-4793 |
| Full Name | Jack T Roberts Jr |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 907 E Lamar Alexander Pkwy, Maryville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013958917 | NPI | - | NPPES |
| 3161933 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 09957 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | MD09957 (Tennessee) | Primary |
| Entity Name | Blount Memorial Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack T Roberts Jr, MD 103 W Broadway Ave, Maryville, TN 37801-4703 Ph: (865) 273-1752 | Jack T Roberts Jr, MD 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 980-4897 |
Kevin Michael Donovan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722 | |
Dr. Mark Ellison Green, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 365 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5360 Fax: 865-980-5356 | |
Nene Linda Ugoeke, M.D, MPH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 162 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6161 | |
Chinonyelum Doris Nwagbara, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 | |
Nathaniel Runne, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722 | |
Lukas Mathews, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722 |