| Ilienis Perez-rios, PA-C | |
|
122 Kent Place, Alcoa, TN 37701 | |
| (865) 637-8812 | |
| (865) 342-4678 |
| Full Name | Ilienis Perez-rios |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 122 Kent Place, Alcoa, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194350678 | NPI | - | NPPES |
| Q057212 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9112956 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 4101 (Tennessee) | Primary |
| Entity Name | Endocrinology Consultants of East TN |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730395104 PECOS PAC ID: 1951371525 Enrollment ID: O20040729001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilienis Perez-rios, PA-C 1450 Dowell Springs Blvd, Suite 300, Knoxville, TN 37909 Ph: (865) 637-8812 | Ilienis Perez-rios, PA-C 122 Kent Place, Alcoa, TN 37701 Ph: (865) 637-8812 |
Emily Elliott, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 |
Olivia Callahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 230 Associates Blvd, Alcoa, TN 37701 Phone: 865-273-1555 |
Mariah Shyanne Hall Phillips, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 Fax: 865-380-4095 |
Ms. Amalie Beth Shanks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 230 Associates Blvd, Alcoa, TN 37701 Phone: 865-977-4673 Fax: 865-273-1550 |
Nicholas Michael Agvent, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 Fax: 865-380-4095 |
James Thomas Bailey Iv, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 |
Mark A Reiff, Physician Assistant Medicare: Medicare Enrolled Practice Location: 266 Joule St, Alcoa, TN 37701 Phone: 865-984-3864 Fax: 865-380-4095 |