| Mr Mark Keith Lee, MD | |
|
100 Lantana Road, Suite 202, Crossville, TN 38555-1903 | |
| (931) 484-5141 | |
| (931) 484-5620 |
| Full Name | Mr Mark Keith Lee |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 100 Lantana Road, Crossville, 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 |
|---|---|---|---|
| 1528079969 | NPI | - | NPPES |
| 139003 | Other | TN | BLUE CROSS |
| 3067149 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD17713 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Quality Home Health | Jamestown, TN | Home health agency |
| Avalon Hospice | Nashville, TN | Hospice |
| Cumberland Medical Center | Crossville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group Inc | 2860305463 | 301 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| 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 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Keith Lee, MD 100 Lantana Road, Suite 202, Crossville, TN 38555-1903 Ph: (931) 484-5141 | Mr Mark Keith Lee, MD 100 Lantana Road, Suite 202, Crossville, TN 38555-1903 Ph: (931) 484-5141 |
Dr. Tamara Jean Collins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Mr. Robert E Nichols, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Dr. Kimberly S Peaslee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515 | |
Mehran Monazam Tavallaee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061 | |
Stephen Dennis Clark, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 493 Lantana Rd, Crossville, TN 38555 Phone: 931-335-9919 Fax: 931-335-9954 | |
Dr. Thomas E Clayton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515 | |
Dr. Kristine Louise Soly, MD, FACC Internal Medicine Medicare: Medicare Enrolled Practice Location: 917 Hillcrest Dr, Crossville, TN 38555 Phone: 931-456-5900 Fax: 931-456-5916 |