| Timothy Ray Crossett, MD | |
|
620 Skyline Drive, Jackson, TN 38301-3901 | |
| (731) 541-6174 | |
| (731) 425-6274 |
| Full Name | Timothy Ray Crossett |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 620 Skyline Drive, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023085628 | NPI | - | NPPES |
| 3058645 | Other | BCBS | |
| 4102190 | Other | BCBS | |
| 3086620 | Medicaid | TN | |
| P00271014 | Other | RR MEDICARE | |
| 300056937 | Other | TN | RR MEDICARE |
| 300056951 | Other | RR MEDICARE | |
| 3086628 | Medicaid | TN | |
| 3828137 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 19952 (Tennessee) | Primary |
| Entity Name | Jackson Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699700716 PECOS PAC ID: 6305893231 Enrollment ID: O20050404000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Ray Crossett, MD Po Box 11955, Jackson, TN 38308-0132 Ph: (731) 541-5000 | Timothy Ray Crossett, MD 620 Skyline Drive, Jackson, TN 38301-3901 Ph: (731) 541-6174 |
Dr. Jack R Allison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0329 | |
Carson Kisner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Physicians Dr, Jackson, TN 38305 Phone: 731-240-1747 Fax: 731-240-1755 | |
Dr. Allen L Schlamp, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-660-8759 | |
Dr. James Lee Ellis Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008 | |
Mr. Adam Lee Summerlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008 | |
Paige Maurer, Radiology Medicare: May Accept Medicare Assignments Practice Location: 31 Sandstone Cir, Jackson, TN 38305 Phone: 731-240-1747 |