| Thang Minh Phan, MD | |
|
1224 Trotwood Ave, Columbia, TN 38401-4802 | |
| (931) 380-4072 | |
| (931) 490-7043 |
| Full Name | Thang Minh Phan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 1224 Trotwood Ave, Columbia, 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 |
|---|---|---|---|
| 1558653923 | NPI | - | NPPES |
| 3710089 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 52293 (Tennessee) | Primary |
| 207P00000X | Emergency Medicine | 52293 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians Regional Medical Center | Powell, TN | Hospital |
| Tristar Summit Medical Center | Hermitage, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 529 |
| Hospital Medicine Services Of Tn Llc | 2365807633 | 256 |
| Maury Regional Medical Group, Inc | 7911810742 | 101 |
| 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 | Maury Regional Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
| 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 | 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 Tn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982301065 PECOS PAC ID: 2365807633 Enrollment ID: O20230421000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Thang Minh Phan, MD 854 W James Campbell Blvd, Suite 303, Columbia, TN 38401-4659 Ph: (931) 380-4072 | Thang Minh Phan, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 380-4072 |
Bethany G Summerford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Hany Nimr Rezk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
Anthony Donald Haase Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4072 Fax: 931-490-7043 | |
Christopher R Edwards, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Cheryl Buttram Clayton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
John Spencer Jensen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401 Phone: 931-490-7775 Fax: 931-490-7797 | |
Dominic J Papa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4032 Fax: 931-490-7043 |