| Robert Wojtanowski, | |
|
886 Highway 411 N, Etowah, TN 37331-1912 | |
| (423) 263-3600 | |
| (423) 263-3601 |
| Full Name | Robert Wojtanowski |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 886 Highway 411 N, Etowah, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912946690 | NPI | - | NPPES |
| 4194067 | Other | TN | BCBS |
| 1507293 | Medicaid | TN | |
| P00667677 | Other | TN | RAILROAD MCARE THRU AMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 29941 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Rhea Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811987084 PECOS PAC ID: 7315905148 Enrollment ID: O20061104000430 |
| Entity Name | App Of Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
| Entity Name | Rhea Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972211803 PECOS PAC ID: 7315905148 Enrollment ID: O20221130000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wojtanowski, 3211 Shannon Rd, Suite 300, Durham, NC 27707-6322 Ph: (919) 403-2028 | Robert Wojtanowski, 886 Highway 411 N, Etowah, TN 37331-1912 Ph: (423) 263-3600 |
Rick A Popp, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 886 Highway 411 N, Emergency Department, Etowah, TN 37331 Phone: 423-263-3600 | |
Pamela Leeann Kersey, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 886 Highway 411 N, Etowah, TN 37331 Phone: 423-263-3600 Fax: 423-263-3601 | |
William Henry 'hank' Zachary, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 886 Highway 411 N, Etowah, TN 37331 Phone: 423-263-3600 Fax: 423-263-3601 | |
Dr. Mary Marcella Huff, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 886 Highway 411 N, Etowah, TN 37331 Phone: 423-263-3600 Fax: 423-263-3601 | |
James Bernard Winder Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 886 Highway 411 N, Etowah, TN 37331 Phone: 423-263-3600 Fax: 423-263-3601 |