| Philip A Marino Jr, MD | |
| 1130 Jennings Creek Ln, Greeneville, TN 37743-5694 | |
| (952) 595-1100 | |
| (612) 294-4903 | 
| Full Name | Philip A Marino Jr | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 1130 Jennings Creek Ln, Greeneville, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811906118 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD0000028421 (Tennessee) | Primary | 
| Entity Name | Okanogan Douglas County Hospital Dist 1 | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205942257 PECOS PAC ID: 7810882792 Enrollment ID: O20040219000122 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Philip A Marino Jr, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Philip A Marino Jr, MD 1130 Jennings Creek Ln, Greeneville, TN 37743-5694 Ph: (952) 595-1100 | 
| Robert D. Thomas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Takoma Ave, Greeneville, TN 37743 Phone: 423-636-2362 | |
| Arthur F Adams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-638-7057 Fax: 423-638-7057 | |
| Dr. John Carlton Boys, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5041 Fax: 423-787-5046 | |
| Dr. Kevin Shayne Delk, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5021 | |
| Dr. Scot Stanley Vermillion, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-638-7057 Fax: 423-638-5824 |