| Jennifer P King, PA-C | |
|
450 S Chamberlain Ave, Rockwood, TN 37854-6543 | |
| (865) 483-3904 | |
| Not Available |
| Full Name | Jennifer P King |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 450 S Chamberlain Ave, Rockwood, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962641530 | NPI | - | NPPES |
| 1695 | Other | TN | TN STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1695 (Tennessee) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 001695 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20040220000755 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer P King, PA-C 450 S Chamberlain Ave, Rockwood, TN 37854-6543 Ph: (865) 483-3094 | Jennifer P King, PA-C 450 S Chamberlain Ave, Rockwood, TN 37854-6543 Ph: (865) 483-3904 |
Shiann N Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1118 N Gateway Ave, Rockwood, TN 37854 Phone: 865-444-4345 |
Suzanne Alley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1420 N Gateway Ave, Rockwood, TN 37854 Phone: 865-354-7799 |