| Wilma Proffitt, MD | |
|
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | |
| (865) 983-7211 | |
| (865) 450-9374 |
| Full Name | Wilma Proffitt |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 907 E Lamar Alexander Pkwy, Maryville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588655880 | NPI | - | NPPES |
| 3131612 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 3091120 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25501 (Tennessee) | Primary |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Entity Name | Laurel Falls Anesthesiologists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942980875 PECOS PAC ID: 8921452673 Enrollment ID: O20230928002052 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilma Proffitt, MD Po Box 24776, Chattanooga, TN 37422-4776 Ph: (877) 288-1799 | Wilma Proffitt, MD 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 983-7211 |
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: Accepting Medicare Assignments 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 |