Michael Gary Allison, DO is a medicare enrolled "Anesthesiology" physician in Crossville, Tennessee. His current practice location is
421 South Main Street, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 484-9511.
Michael Gary Allison is licensed to practice in Pennsylvania (license number 188099) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104814797.
Physician's Profile
| Full Name | Michael Gary Allison |
|---|
| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 421 South Main Street, Crossville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104814797
- Provider Enumeration Date: 10/09/2005
- Last Update Date: 01/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 9537067962
- Enrollment ID: I20090126000659
Medical Identifiers
Medical identifiers for Michael Gary Allison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104814797 | NPI | - | NPPES |
| 01715897 | Medicaid | NY | |
| 0016134270002 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | OS-006810L (Pennsylvania) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 18895 (Mississippi) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 188099 (New York) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 6347 (Ohio) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 1974 (Tennessee) | Secondary |
| 207L00000X | Anesthesiology | 188099 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Gary Allison is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Gary Allison, DO
1307 West Ave, Suite 102,
Crossville, TN 38555-5107
Ph: (931) 456-4433 | Michael Gary Allison, DO
421 South Main Street,
Crossville, TN 38555
Ph: (931) 484-9511 |
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