| James Darrel King, MD | |
|
1 Prime Care Dr, Selmer, TN 38375-1864 | |
| (731) 645-7932 | |
| (731) 645-5195 |
| Full Name | James Darrel King |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 1 Prime Care Dr, Selmer, 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 |
|---|---|---|---|
| 1144256157 | NPI | - | NPPES |
| 116900 | Medicaid | TN | |
| 12048 | Medicaid | TN | |
| 3123017 | Other | TN | BLUE CROSS BLUE SHIELD S |
| 3717101 | Medicaid | TN | |
| 3123019 | Other | TN | BLUE CROSS BLUE SHIELD H |
| 3124181 | Other | TN | BLUE CROSS BLUE SHIELD A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14266 (Tennessee) | Primary |
| 207Q00000X | Family Medicine | 16404 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hardin Medical Center | Savannah, TN | Hospital |
| Henderson Health And Rehabilitation Center | Henderson, TN | Nursing home |
| Ahc Mcnairy County | Selmer, TN | Nursing home |
| Ahc Lexington | Lexington, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Tennessee Medical Group Inc | 3971781006 | 151 |
| Entity Name | West Tennessee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
| Entity Name | Wt University Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023572344 PECOS PAC ID: 3779824719 Enrollment ID: O20190401001719 |
| Mailing Address | Practice Location Address |
|---|---|
| James Darrel King, MD 1 Prime Care Dr, Selmer, TN 38375-1864 Ph: (731) 645-7932 | James Darrel King, MD 1 Prime Care Dr, Selmer, TN 38375-1864 Ph: (731) 645-7932 |
Sarah Bergman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave, Selmer, TN 38375 Phone: 731-541-9490 | |
Mary Jane Fullwood, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 832 Mulberry Ave, Selmer, TN 38375 Phone: 731-434-0200 Fax: 731-434-0203 | |
William Andrew Eason, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 |