| Julie C Munson-jackson, MD | |
|
6401 Mountain View Road, Suite 109, Ooltewah, TN 37363-6685 | |
| (423) 495-5951 | |
| (423) 495-5999 |
| Full Name | Julie C Munson-jackson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 6401 Mountain View Road, Ooltewah, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952328874 | NPI | - | NPPES |
| 03-0600637 | Other | TN | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000039783 (Tennessee) | Primary |
| Entity Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
| Entity Name | Restoration Recovery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770011652 PECOS PAC ID: 2961777446 Enrollment ID: O20171010000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie C Munson-jackson, MD 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363-6685 Ph: (423) 495-5951 | Julie C Munson-jackson, MD 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363-6685 Ph: (423) 495-5951 |
Dr. Oliver Marko Bujak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9309 Apison Pike, Ooltewah, TN 37363 Phone: 423-551-3562 Fax: 423-551-3563 | |
Dr. William Thurman Bates Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363 Phone: 423-495-5951 Fax: 423-495-5999 | |
Dr. Mark Steven Crago, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363 Phone: 423-495-5951 Fax: 423-495-5999 | |
Dr. James F Carsten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9309 Apison Pike, Ooltewah, TN 37363 Phone: 423-551-3562 Fax: 423-551-3563 | |
Dr. Carl M Orquia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363 Phone: 423-495-5951 Fax: 423-495-5999 | |
Dr. James W Hedden, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363 Phone: 423-495-5951 Fax: 423-495-5999 | |
Dr. Kent A Grotefendt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363 Phone: 423-495-5951 Fax: 423-495-5999 |