| Otilia Dejesus, MD | |
|
265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | |
| (800) 342-2898 | |
| Not Available |
| Full Name | Otilia Dejesus |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 265 Brookview Centre Way Ste 400, Knoxville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912932583 | NPI | - | NPPES |
| 001415901 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME105497 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 326 |
| Entity Name | Florida Emergency Physicians Kang And Associates Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Otilia Dejesus, MD 14526 Plumosa Dr, Jacksonville Beach, FL 32250-2222 Ph: (407) 375-9139 | Otilia Dejesus, MD 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 Ph: (800) 342-2898 |
Stephen Holtzclaw, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919 Phone: 865-293-5310 | |
Dr. Robert Lembersky, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8485 | |
Georganna Michelle Rosel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Dr. Thomas J Demaro, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5823 Apple Valley Dr, Knoxville, TN 37924 Phone: 561-334-3774 | |
Dr. Julie W Jeter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U67, Knoxville, TN 37920 Phone: 865-305-9350 Fax: 865-305-8681 | |
Dr. Robert K. Dickson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8000 | |
Dr. Joseph Tucker Montgomery, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 528 Dixon Rd, Knoxville, TN 37934 Phone: 865-604-3476 Fax: 865-675-0833 |