| Terry Marshall Bingham, MD | |
|
1855 Tanner Way, Suite 220, Harriman, TN 37748-8302 | |
| (865) 882-2442 | |
| (865) 882-0251 |
| Full Name | Terry Marshall Bingham |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1855 Tanner Way, Harriman, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336107119 | NPI | - | NPPES |
| Q012240 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D10262 (Tennessee) | Primary |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Marshall Bingham, MD 1855 Tanner Way, Suite 220, Harriman, TN 37748-8302 Ph: (865) 882-2442 | Terry Marshall Bingham, MD 1855 Tanner Way, Suite 220, Harriman, TN 37748-8302 Ph: (865) 882-2442 |
Dr. Leonard Michael Copertino, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1855 Tanner Way Ste 220, Harriman, TN 37748 Phone: 865-882-2442 Fax: 865-374-2123 | |
Matthew Cziep, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1855 Tanner Way Ste 220, Harriman, TN 37748 Phone: 865-882-2442 | |
Harry G. Boye, Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 415 Devonia Street, Suite 302, Harriman, TN 37748 Phone: 865-882-8372 Fax: 865-882-8372 |