| Paul Ivan Dcruz, MD | |
|
7714 Conner Rd Ste 105, Powell, TN 37849 | |
| (865) 947-6220 | |
| (864) 512-1069 |
| Full Name | Paul Ivan Dcruz |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 31 Years |
| Location | 7714 Conner Rd Ste 105, Powell, Tennessee |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558361493 | NPI | - | NPPES |
| 3895650 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD31332 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Resources, Pllc | 4587795018 | 14 |
| Dowell Springs Behavioral Health, Llc | 5597157016 | 11 |
| Entity Name | Parkwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
| Entity Name | Mental Health Resources, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922034503 PECOS PAC ID: 4587795018 Enrollment ID: O20210629000712 |
| Entity Name | Dowell Springs Behavioral Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255908174 PECOS PAC ID: 5597157016 Enrollment ID: O20220516000926 |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083480081 PECOS PAC ID: 5092120030 Enrollment ID: O20240813003368 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Ivan Dcruz, MD 6350 W Andrew Johnson Hwy Dept 100, Talbott, TN 37877-8605 Ph: (800) 355-3565 | Paul Ivan Dcruz, MD 7714 Conner Rd Ste 105, Powell, TN 37849 Ph: (865) 947-6220 |
Dr. Dewey Young Mcwhirter Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7557 Dannaher Dr Ste 240, Powell, TN 37849 Phone: 865-859-7800 Fax: 865-859-7809 |