| Travis Fawver, DO | |
|
435 2nd St, Newport, TN 37821-3703 | |
| (423) 625-2200 | |
| Not Available |
| Full Name | Travis Fawver |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 435 2nd St, Newport, 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 |
|---|---|---|---|
| 1467490805 | NPI | - | NPPES |
| P00310644 | Other | TN | RAILROAD MEDICARE |
| 4113345 | Other | TN | BCBS OF TN |
| 3319552 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 1710 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare North Knoxville Medical Center | Powell, TN | Hospital |
| West Tennessee Healthcare Henry County Hospital | Paris, TN | Hospital |
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Methodist Medical Center Of Oak Ridge | Oak ridge, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Putnam Emergency Physicians Pllc | 3779946488 | 34 |
| Emergency Coverage Llc | 3072412592 | 761 |
| Eagle Creek Emergency Group, Pc | 2466714571 | 21 |
| Emergency Medicine Services Of Tn, Pc | 3173989837 | 144 |
| Southeastern Emergency Physicians Llc | 2466364997 | 776 |
| 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 | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Tri-cities Regional Emergency Physicians, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Eagle Creek Emergency Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134627557 PECOS PAC ID: 2466714571 Enrollment ID: O20180329000029 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210806002739 |
| Entity Name | Emergency Medicine Services of TN, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
| Entity Name | Putnam Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891475752 PECOS PAC ID: 3779946488 Enrollment ID: O20230829001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Fawver, DO Po Box 636019, Cincinnati, OH 45263-6019 Ph: (865) 985-7234 | Travis Fawver, DO 435 2nd St, Newport, TN 37821-3703 Ph: (423) 625-2200 |
Constantino Diaz Miranda, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 435 2nd Street, Newport, TN 37821 Phone: 423-625-2200 |
Dr. Wayne Jefferson Berry Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 |
David L Shumway, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 435 2nd St, Newport, TN 37821 Phone: 800-577-7707 Fax: 865-769-3476 |