| John Wayne Mcmichen, MD | |
| 6108 Kingston Pike, Knoxville, TN 37919-4019 | |
| (865) 539-9299 | |
| (865) 539-9701 | 
| Full Name | John Wayne Mcmichen | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 6108 Kingston Pike, Knoxville, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205881315 | NPI | - | NPPES | 
| 1507230 | Medicaid | TN | |
| P00643329 | Other | TN | RAILROAD MEDICARE | 
| 4185180 | Other | TN | BCBSTN THRU APPALACHIAN MED SVCS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25941 (Tennessee) | Primary | 
| 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 | 
| Entity Name | Emergency Coverage Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 | 
| Entity Name | Dx Mso Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 | 
| Entity Name | Concord Medical Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 | 
| Mailing Address | Practice Location Address | 
|---|---|
| John Wayne Mcmichen, MD 109 County Road 1150, Riceville, TN 37370-5795 Ph: (423) 525-7120 | John Wayne Mcmichen, MD 6108 Kingston Pike, Knoxville, TN 37919-4019 Ph: (865) 539-9299 | 
| Stephen Holtzclaw, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919 Phone: 865-293-5310 | |
| Dr. Robert Lembersky, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8485 | |
| Georganna Michelle Rosel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
| Dr. Thomas J Demaro, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5823 Apple Valley Dr, Knoxville, TN 37924 Phone: 561-334-3774 | |
| Dr. Julie W Jeter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U67, Knoxville, TN 37920 Phone: 865-305-9350 Fax: 865-305-8681 | |
| Dr. Robert K. Dickson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8000 | |
| Dr. Joseph Tucker Montgomery, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 528 Dixon Rd, Knoxville, TN 37934 Phone: 865-604-3476 Fax: 865-675-0833 |