| Joshua Randall Bakke, MD | |
|
6516 Kingston Pike, Knoxville, TN 37919-4825 | |
| (865) 450-9361 | |
| (865) 450-9362 |
| Full Name | Joshua Randall Bakke |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 9 Years |
| Location | 6516 Kingston Pike, Knoxville, 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 |
|---|---|---|---|
| 1851747695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 61127 (Tennessee) | Secondary |
| 207N00000X | Dermatology | 84690 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Randall Bakke, MD 6516 Kingston Pike, Knoxville, TN 37919-4825 Ph: (865) 450-9361 | Joshua Randall Bakke, MD 6516 Kingston Pike, Knoxville, TN 37919-4825 Ph: (865) 450-9361 |
Dr. Drew Wilson Miller, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1928 Alcoa Hwy, Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-219-5070 | |
Dr. Matthew C Hanggi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Fox Rd, Knoxville, TN 37922 Phone: 865-690-9467 Fax: 865-637-5057 | |
Elizabeth Brittian Anderson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6516 Kingston Pike, Knoxville, TN 37919 Phone: 865-450-9361 Fax: 865-450-9362 | |
Sandra Vaughn, NP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-524-0224 | |
Anne Elizabeth Allen, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-205-5601 | |
Mr. Marcus Rene Ortiz Jr., PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909 Phone: 865-524-2547 Fax: 865-205-5601 | |
Dr. Edward John Primka Iii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909 Phone: 865-524-2547 Fax: 865-205-5601 |