| Manickam Krishnamurthy, MD | |
|
651 Dunlop Ln, Clarksville, TN 37040-5015 | |
| (931) 502-1370 | |
| Not Available |
| Full Name | Manickam Krishnamurthy |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 651 Dunlop Ln, Clarksville, 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 |
|---|---|---|---|
| 1134175987 | NPI | - | NPPES |
| 4151444 | Other | TN | BLUE CROSS |
| 40586 | Other | TN | TLC TENNCARE |
| P00254465 | Other | TN | MEDICARE RAILROAD |
| 3328234 | Medicaid | TN | |
| 3328235 | Medicaid | TN | |
| 4105319 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 42882 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 42882 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 39352 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Northcrest Medical Center | Springfield, TN | Hospital |
| The Medical Center At Scottsville | Scottsville, KY | Hospital |
| Saint Thomas Hickman Hospital | Centerville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 158 |
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| Eagle Creek Emergency Group, Pc | 2466714571 | 17 |
| Havely Springs Emergency Group, Pc | 6204298144 | 11 |
| Concord Medical Group Of Kentucky Pllc | 9133483894 | 62 |
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| 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 | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
| Entity Name | Eagle Creek Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134627557 PECOS PAC ID: 2466714571 Enrollment ID: O20180329000029 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
| Entity Name | Havely Springs Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770090110 PECOS PAC ID: 6204298144 Enrollment ID: O20230809003314 |
| Entity Name | Putnam Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891475752 PECOS PAC ID: 3779946488 Enrollment ID: O20230829001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Manickam Krishnamurthy, MD 2020 21st Ave S Ste 201, Nashville, TN 37212-4354 Ph: () - | Manickam Krishnamurthy, MD 651 Dunlop Ln, Clarksville, TN 37040-5015 Ph: (931) 502-1370 |
John D Shields, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1771 Madison St, Clarksville, TN 37043 Phone: 931-552-6622 | |
Dr. Malcolm A Steele, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370 | |
Mark A Muiznieks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane Clarksville, Clarksville, TN 37040 Phone: 931-502-1370 | |
Dr. Russell Paul Landry Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane, Clarksville, TN 37040 Phone: 713-430-6095 | |
Dr. Timothy L Obernuefemann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2320 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842 | |
Dr. James Willis Hickerson Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370 |