| Mr Michael T Bruce, PA | |
|
1114 W Madison Ave, Athens, TN 37303-4150 | |
| (423) 745-1411 | |
| (865) 539-8008 |
| Full Name | Mr Michael T Bruce |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1114 W Madison Ave, Athens, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861432577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1265 (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 | Sweetwater Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629077532 PECOS PAC ID: 6608773775 Enrollment ID: O20040518001141 |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael T Bruce, PA Po Box 634760, Cincinnati, OH 45263-0001 Ph: Not Available | Mr Michael T Bruce, PA 1114 W Madison Ave, Athens, TN 37303-4150 Ph: (423) 745-1411 |
Blake Aaron Powers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1031 W Madison Ave Ste 1, Athens, TN 37303 Phone: 423-745-6575 Fax: 833-916-2416 |
Jaye Holland Harris, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 503 W Madison Ave, Athens, TN 37303 Phone: 423-745-2312 Fax: 423-746-0687 |
Anthony Sopczak, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1320 Decatur Pike, Athens, TN 37303 Phone: 423-746-1412 Fax: 423-745-6413 |
Joshua Steven Mcgrew, Physician Assistant Medicare: Medicare Enrolled Practice Location: 214 E Madison Ave, Athens, TN 37303 Phone: 423-405-1990 |
Mrs. Alexis Mcdaniel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 119 Epperson St, Athens, TN 37303 Phone: 423-745-7500 |
Anthony Gordon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Cook Dr, Athens, TN 37303 Phone: 423-744-7585 Fax: 423-744-7075 |
Kimberly S Borris, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1031 W Madison Ave, Athens, TN 37303 Phone: 423-745-6575 |