| Dr Sally Suzanne Benton, MD | |
|
405 Ellis Ave, Maryville, TN 37804-5823 | |
| (865) 980-5377 | |
| Not Available |
| Full Name | Dr Sally Suzanne Benton |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 19 Years |
| Location | 405 Ellis Ave, Maryville, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902093479 | NPI | - | NPPES |
| Q097660 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2011-00174 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 46621 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blount Memorial Hospital | Maryville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dowell Springs Behavioral Health, Llc | 5597157016 | 12 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sally Suzanne Benton, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Dr Sally Suzanne Benton, MD 405 Ellis Ave, Maryville, TN 37804-5823 Ph: (865) 980-5377 |
Sharon N Chastain, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1704 E Broadway Ave, Maryville, TN 37804 Phone: 865-637-9711 | |
Dr. William Denney Zimmerman, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 463 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5100 Fax: 865-980-5105 | |
William Caleb Wilson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1704 E Broadway Ave, Maryville, TN 37804 Phone: 865-637-9711 | |
Dr. Melanie Robles Fuertes-hunt, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 451 Bmh Physician Office Building, Maryville, TN 37804 Phone: 865-981-2315 Fax: 865-981-2302 | |
Dr. Kelly Noel Ownby, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 405 Ellis Ave, Maryville, TN 37804 Phone: 865-980-5377 Fax: 865-980-5376 | |
Veronica Manaois Gubatan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 405 Ellis Ave, Maryville, TN 37804 Phone: 865-980-5377 Fax: 865-980-5376 | |
Nalini Samavedy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 210 Simmons St, Maryville, TN 37801 Phone: 865-970-9800 Fax: 865-374-7129 |