| Victor A Vallejo, MD | |
|
2300 Patterson St, Nashville, TN 37203-1538 | |
| (615) 342-6828 | |
| (615) 342-6836 |
| Full Name | Victor A Vallejo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 2300 Patterson St, Nashville, 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 |
|---|---|---|---|
| 1679539886 | NPI | - | NPPES |
| P01016892 | Other | TN | RAILROAD MEDICARE |
| 4308730 | Other | TN | BCBST |
| 1514976 | Medicaid | TN | |
| 287889 | Medicaid | SC | |
| 7100189690 | Medicaid | KY | |
| 6011152 | Other | TN | BLUE CROSS-BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38642 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Centennial Medical Center | Nashville, TN | Hospital |
| Tristar Stonecrest Medical Center | Smyrna, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centennial Hospitalists, Llc | 8820369218 | 8 |
| Entity Name | Centennial Hospitalists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558801332 PECOS PAC ID: 8820369218 Enrollment ID: O20170803000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor A Vallejo, MD 2300 Patterson St, Nashville, TN 37203-1538 Ph: (615) 342-6828 | Victor A Vallejo, MD 2300 Patterson St, Nashville, TN 37203-1538 Ph: (615) 342-6828 |
Megan Desai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4220 Harding Pike, Nashville, TN 37205 Phone: 615-222-6726 Fax: 615-222-3702 | |
Harrison Klause, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
John N Bowers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike Ste 500, Nashville, TN 37205 Phone: 629-255-2493 Fax: 629-255-4266 | |
Mr. Jacob Grand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Pike Ste 330, Nashville, TN 37205 Phone: 615-565-6586 | |
Dr. Evan Zehr, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1161 21st Ave S, Nashville, TN 37232 Phone: 615-322-6943 | |
Spurthi N Bhatt, MD MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Mr. Robert M Johnson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2410 Patterson St, Suite 106, Nashville, TN 37203 Phone: 615-340-4611 Fax: 615-340-4658 |