| Walter Earnest Stephens, MD | |
|
200 Creekside Dr, Dickson, TN 37055-2176 | |
| (615) 441-6140 | |
| (615) 441-6190 |
| Full Name | Walter Earnest Stephens |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 200 Creekside Dr, Dickson, 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 |
|---|---|---|---|
| 1205878220 | NPI | - | NPPES |
| 3847386 | Medicaid | TN | |
| 3847380 | Medicaid | TN | |
| 6022403 | Other | TN | BCBS TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32001 (Tennessee) | Primary |
| 207P00000X | Emergency Medicine | 32001 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Nashville, TN | Home health agency |
| Home Care Solutions | Nashville, TN | Home health agency |
| Tristar Horizon Medical Center | Dickson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Diagnostic Imaging Pc | 7315848140 | 528 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Entity Name | Privia Medical Group Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Earnest Stephens, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Walter Earnest Stephens, MD 200 Creekside Dr, Dickson, TN 37055-2176 Ph: (615) 441-6140 |
Dr. Rolland E Luplow, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 758 Highway 46 S, Dickson, TN 37055 Phone: 615-446-2708 Fax: 615-441-5121 | |
John Williams Ross, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1904 Highway 46 S Ste 3, Dickson, TN 37055 Phone: 615-441-6000 | |
Sujay Kumar Kannamangala Chandrashekar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 758 Highway 46 S, Dickson, TN 37055 Phone: 615-446-2708 Fax: 615-446-1357 | |
Dr. Lora Johnson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 758 Highway 46 S, Dickson, TN 37055 Phone: 615-446-2708 Fax: 615-441-5121 | |
Dr. John Cw Morse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 127 Crestview Park Dr, Dickson, TN 37055 Phone: 615-446-5121 Fax: 615-441-4593 | |
Dr. Daniel B Drinnen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 113 Highway 70 E, Dickson, TN 37055 Phone: 615-446-5121 Fax: 615-446-1357 |