Madison Stephens Boles, MD | |
380 W Broadway Blvd, Jefferson City, TN 37760-2602 | |
(865) 475-4742 | |
Not Available |
Full Name | Madison Stephens Boles |
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Gender | Female |
Speciality | Internal Medicine |
Location | 380 W Broadway Blvd, Jefferson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467071969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 71323 (Tennessee) | Primary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
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Madison Stephens Boles, MD 1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383 Ph: (865) 584-4747 | Madison Stephens Boles, MD 380 W Broadway Blvd, Jefferson City, TN 37760-2602 Ph: (865) 475-4742 |
William W Ramsey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Ste 130, Jefferson City, TN 37760 Phone: 865-475-4742 Fax: 865-262-0100 | |
Dr. Hong I Tjoa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 250, Jefferson City, TN 37760 Phone: 865-471-2570 Fax: 865-471-2571 | |
Lance S Patton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Ste 130, Jefferson City, TN 37760 Phone: 865-475-4742 Fax: 865-262-0100 | |
Richard Baird, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Dr, Jefferson City, TN 37760 Phone: 865-471-2300 | |
John Austin Kirby, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Ste 130, Jefferson City, TN 37760 Phone: 865-475-4742 Fax: 865-262-0100 | |
Dr. Douglas Len Damron, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Dr, Jefferson City, TN 37760 Phone: 865-471-2360 |