| Todd A Pepper, | |
|
1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | |
| (865) 724-0867 | |
| (865) 233-0592 |
| Full Name | Todd A Pepper |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 24 Years |
| Location | 1111 E Lamar Alexander Pkwy, Maryville, 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 |
|---|---|---|---|
| 1922192558 | NPI | - | NPPES |
| 7100303600 | Medicaid | KY | |
| Q004989 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 2614 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blount Memorial Hospital | Maryville, TN | Hospital |
| Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Pain Management Llc | 2567859663 | 3 |
| Entity Name | Glps Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750797015 PECOS PAC ID: 2365668043 Enrollment ID: O20181119001608 |
| Entity Name | Alliance Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518631548 PECOS PAC ID: 2567859663 Enrollment ID: O20220420000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd A Pepper, 1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 Ph: (865) 724-0867 | Todd A Pepper, 1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 Ph: (865) 724-0867 |
Cathy E Petty, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Immaculate Thomason, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Cheryl E Coleman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Jerry M Gilley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Anthony Ragsdale, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Denise Liyana Charlton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Jon L Cheek, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 |