| Garry Wayne Burks, PA | |
|
6845 S York Hwy, Clarkrange, TN 38553-5154 | |
| (931) 863-5095 | |
| (931) 863-3530 |
| Full Name | Garry Wayne Burks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | 6845 S York Hwy, Clarkrange, 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 |
|---|---|---|---|
| 1407866387 | NPI | - | NPPES |
| 3104164 | Other | TN | BLUE CROSS BLUE SHEILD TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA454 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Quality Home Health | Jamestown, TN | Home health agency |
| Amedisys Home Health | Livingston, TN | Home health agency |
| Cumberland Medical Center | Crossville, TN | Hospital |
| University Of Tn Medical Center (the) | Knoxville, TN | Hospital |
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Clinics Of America, Llc | 6305273392 | 8 |
| Entity Name | Scott County Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1124536990 PECOS PAC ID: 3375829112 Enrollment ID: O20180327002959 |
| Entity Name | Acute Care Clinics of America, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780235564 PECOS PAC ID: 6305273392 Enrollment ID: O20200304001675 |
| Entity Name | Monterey Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497339790 PECOS PAC ID: 7012316961 Enrollment ID: O20210811003455 |
| Mailing Address | Practice Location Address |
|---|---|
| Garry Wayne Burks, PA Po Box 2861, Crossville, TN 38557-2861 Ph: (931) 863-5095 | Garry Wayne Burks, PA 6845 S York Hwy, Clarkrange, TN 38553-5154 Ph: (931) 863-5095 |