Jeffrey Trent Wade, MD | |
490 Dunlop Ln, Clarksville, TN 37040-5007 | |
(931) 245-8622 | |
(931) 245-8663 |
Full Name | Jeffrey Trent Wade |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 490 Dunlop Ln, Clarksville, 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 |
---|---|---|---|
1679517833 | NPI | - | NPPES |
Q004457 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 33993 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Medical Group Pc | 9739084088 | 40 |
Entity Name | Premier Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740242957 PECOS PAC ID: 9739084088 Enrollment ID: O20031201000512 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Trent Wade, MD P.o. Box 3799, Clarksville, TN 37043 Ph: (931) 245-7000 | Jeffrey Trent Wade, MD 490 Dunlop Ln, Clarksville, TN 37040-5007 Ph: (931) 245-8622 |
Norman A Scarborough, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2831 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-245-8600 Fax: 931-245-8660 | |
Dr. Loy Allen Forsythe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Suite 530, Clarksville, TN 37040 Phone: 931-502-1591 | |
Patricia L. Verhulst, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2831 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-245-8600 Fax: 931-245-8660 | |
Dr. Anne Marie Gunn, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-7000 |