| Ruchi Gupta, MD | |
|
188 Hospital Ln, Jellico, TN 37762-4400 | |
| (423) 784-1238 | |
| Not Available |
| Full Name | Ruchi Gupta |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 188 Hospital Ln, Jellico, 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 |
|---|---|---|---|
| 1386686343 | NPI | - | NPPES |
| 3126227 | Other | TN | BCBS OF TN |
| P00225552 | Other | TN | RAILROAD MEDICARE |
| 3806445 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27737 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 27737 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newport Medical Center | Newport, TN | Hospital |
| Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 105 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| 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 | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| 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 | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | App Of East Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326695537 PECOS PAC ID: 6800127796 Enrollment ID: O20191007003318 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruchi Gupta, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: (865) 985-7234 | Ruchi Gupta, MD 188 Hospital Ln, Jellico, TN 37762-4400 Ph: (423) 784-1238 |
Dr. Benjamin Wayne D'ooge, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Lane, Jellico, TN 37762 Phone: 800-944-7252 Fax: 423-784-1136 | |
Dr. Terrence Wesley Leveck, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln, Jellico Community Hospital, Jellico, TN 37762 Phone: 800-944-7252 Fax: 800-305-3233 | |
Dr. David Escalante, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 292 N Main St, Jellico, TN 37762 Phone: 423-784-3600 Fax: 423-784-4602 | |
Pedro Pablo Flores, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 188 Hospital Ln, Jellico, TN 37762 Phone: 423-784-3500 |