Manju Pushkas, MD | |
1420 Tusculum Blvd, Greeneville, TN 37745-4279 | |
(423) 787-5537 | |
Not Available |
Full Name | Manju Pushkas |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 1420 Tusculum Blvd, Greeneville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528629920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101274162 (Virginia) | Secondary |
208M00000X | Hospitalist | 0101274162 (Virginia) | Secondary |
208M00000X | Hospitalist | 66363 (Tennessee) | Primary |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
Mailing Address | Practice Location Address |
---|---|
Manju Pushkas, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Manju Pushkas, MD 1420 Tusculum Blvd, Greeneville, TN 37745-4279 Ph: (423) 787-5537 |
Bukola O Afilaka, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5000 | |
George B. Kehler Ii, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5000 | |
David H Beals, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5000 |