| Mohammad A Alsoub, MD | |
|
111 Highway 70 E Ste 102, Dickson, TN 37055-2080 | |
| (615) 375-1531 | |
| (615) 375-1526 |
| Full Name | Mohammad A Alsoub |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 38 Years |
| Location | 111 Highway 70 E Ste 102, Dickson, 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 |
|---|---|---|---|
| 1063407534 | NPI | - | NPPES |
| 4138005 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 103I295563 | Other | TN | MEDICARE |
| 3894698 | Medicaid | TN | |
| 6060612 | Other | TN | BCBS |
| P00359629 | Other | RAILROAD MEDICARE PIN | |
| 1516719 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 38437 (Tennessee) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 38437 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Horizon Medical Center | Dickson, TN | Hospital |
| Three Rivers Hospital | Waverly, TN | Hospital |
| Ahc Waverly | Waverly, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dickson Medical Associates, Pc | 3971408774 | 59 |
| Entity Name | Dickson Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568464873 PECOS PAC ID: 3971408774 Enrollment ID: O20031204000828 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad A Alsoub, MD 127 Crestview Park Dr Ste 209, Dickson, TN 37055-2856 Ph: (615) 446-5121 | Mohammad A Alsoub, MD 111 Highway 70 E Ste 102, Dickson, TN 37055-2080 Ph: (615) 375-1531 |
Luma Kharabsheh, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 127 Crestview Park Dr, Dickson, TN 37055 Phone: 615-446-5121 Fax: 615-446-1357 | |
Winifred Cecelia Lassiter, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 301 W End Ave, Dickson, TN 37055 Phone: 615-446-2839 | |
Dr. Jeffrey Alan Culp, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 127 Crestview Park Dr Ste 205, Dickson, TN 37055 Phone: 615-441-4500 Fax: 615-908-1237 | |
Dr. Michael Lance Smitherman, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 127 Crestview Park Dr Ste 206, Dickson, TN 37055 Phone: 615-446-1377 Fax: 615-446-1367 | |
Dr. David L Ross, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 127 Crestview Park Dr, Dickson, TN 37055 Phone: 615-446-5121 Fax: 615-441-4507 | |
Dr. David J Blazer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 113 Highway 70 E, Dickson, TN 37055 Phone: 615-441-4450 Fax: 615-446-1357 |