| Lana G Fox, MD | |
|
Cedar Creek Pediatric & Adolescent Medicine, Pc, 616 Smitvhiew Drive, Maryville, TN 37803-6100 | |
| (865) 379-2277 | |
| (865) 738-0087 |
| Full Name | Lana G Fox |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Cedar Creek Pediatric & Adolescent Medicine, Pc, Maryville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578594958 | NPI | - | NPPES |
| 544-0501 | Other | TN | BLUE CROSS ID # |
| MD29827 | Other | TN | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD29827 (Tennessee) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Lana G Fox, MD Cedar Creek Pediatric & Adolescent Medicine, Pc, 616 Smitvhiew Drive, Maryville, TN 37803-6100 Ph: (865) 379-2277 | Lana G Fox, MD Cedar Creek Pediatric & Adolescent Medicine, Pc, 616 Smitvhiew Drive, Maryville, TN 37803-6100 Ph: (865) 379-2277 |
Charles Allen Raper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 Greenbelt Dr, Maryville, TN 37804 Phone: 865-982-0032 Fax: 866-307-8963 | |
Michael T Damron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 616 W Lamar Alexander Pkwy, Maryville, TN 37801 Phone: 865-518-0010 | |
Dr. Cynthia J Easter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 641 Morganton Square Dr, Maryville, TN 37801 Phone: 865-724-1590 Fax: 865-724-1591 | |
Lori A Baxter, M.D., FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Cedar Creek Pediatric & Adolescent Medicine, Pc, 616 Smithview Drive, Maryville, TN 37803 Phone: 865-379-2277 Fax: 865-738-0087 | |
Mark Darryl Watkins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 Greenbelt Dr, Maryville, TN 37804 Phone: 865-982-0032 Fax: 866-307-8963 | |
Whitney Elizabeth Dee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 616 W Lamar Alexander Pkwy, Maryville, TN 37801 Phone: 865-518-0010 |