| Stephen Dennis Clark, MD | |
|
493 Lantana Rd, Crossville, TN 38555-4946 | |
| (931) 335-9919 | |
| (931) 335-9954 |
| Full Name | Stephen Dennis Clark |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 493 Lantana Rd, Crossville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275727927 | NPI | - | NPPES |
| 42144 | Other | TN | TN MEDICAL LICENSE |
| 3000928 | Medicaid | TN | |
| 7100432890 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42144 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abilis Health Nashville, Llc | Brentwood, TN | Home health agency |
| Nhc Homecare Murfreesboro | Murfreesboro, TN | Home health agency |
| Hospice Of Cumberland County Inc | Crossville, TN | Hospice |
| Cumberland Medical Center | Crossville, TN | Hospital |
| Saint Thomas Highlands Hospital | Sparta, TN | Hospital |
| Roane Medical Center | Harriman, TN | Hospital |
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 493 Internal Medicine Pllc | 7719218775 | 2 |
| Entity Name | Saint Thomas Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
| 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 | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
| Entity Name | 493 Internal Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356994461 PECOS PAC ID: 7719218775 Enrollment ID: O20191007001792 |
| 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 |
| Entity Name | Cookeville Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467133371 PECOS PAC ID: 1254794282 Enrollment ID: O20230824000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Dennis Clark, MD 493 Lantana Rd, Crossville, TN 38555-4946 Ph: (931) 335-9919 | Stephen Dennis Clark, MD 493 Lantana Rd, Crossville, TN 38555-4946 Ph: (931) 335-9919 |
Dr. Tamara Jean Collins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Mr. Robert E Nichols, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Dr. Kimberly S Peaslee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515 | |
Mehran Monazam Tavallaee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061 | |
Dr. Thomas E Clayton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515 | |
Dr. Kristine Louise Soly, MD, FACC Internal Medicine Medicare: Medicare Enrolled Practice Location: 917 Hillcrest Dr, Crossville, TN 38555 Phone: 931-456-5900 Fax: 931-456-5916 |