| Mr Reynaldo A Olaechea, MD | |
|
124 Hayes St, Crossville, TN 38555 | |
| (931) 787-1620 | |
| (931) 787-1622 |
| Full Name | Mr Reynaldo A Olaechea |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 124 Hayes St, Crossville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013973874 | NPI | - | NPPES |
| 020038845 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD7369 (Tennessee) | Primary |
| Entity Name | Cumberland Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225161227 PECOS PAC ID: 7517059017 Enrollment ID: O20070828000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Reynaldo A Olaechea, MD 421 S Main St # 231, Crossville, TN 38555-5048 Ph: (931) 459-7012 | Mr Reynaldo A Olaechea, MD 124 Hayes St, Crossville, TN 38555 Ph: (931) 787-1620 |
Mr. Bruce Corwyn Raffel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Mr. Mark Alan Fox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Mr. Donathan M Ivey, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Road, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
John Leslie Milligan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Cleveland St, Suite 310, Crossville, TN 38555 Phone: 931-787-1940 Fax: 931-787-1943 | |
Dr. Christopher M Bell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 124 Hayes St, Crossville, TN 38555 Phone: 931-459-7655 Fax: 931-787-1622 | |
Dr. Amanda Michelle Garman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Cleveland St Ste 350, Crossville, TN 38555 Phone: 931-459-7720 |