| Shawn T Sussmane, OD | |
|
1124 E Weisgarber Rd Ste 104, Knoxville, TN 37909-2686 | |
| (865) 584-2127 | |
| Not Available |
| Full Name | Shawn T Sussmane |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 26 Years |
| Location | 1124 E Weisgarber Rd Ste 104, Knoxville, 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 |
|---|---|---|---|
| 1386644151 | NPI | - | NPPES |
| 4025051 | Other | TN | BCBS |
| 3944150 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TN2032 (Tennessee) | Secondary |
| 152W00000X | Optometrist | OPC6391 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1658 |
| Provider Name | Florida Clinical Practice Association Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn T Sussmane, OD Po Box 100284, Gainesville, FL 32610-0284 Ph: (352) 273-8778 | Shawn T Sussmane, OD 1124 E Weisgarber Rd Ste 104, Knoxville, TN 37909-2686 Ph: (865) 584-2127 |
Dr. Michael Harry Cho, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9031 Cross Park Dr, Knoxville, TN 37923 Phone: 865-545-4592 Fax: 865-545-4488 | |
Karin Rodriguez Moore, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 5113 Clinton Hwy, Knoxville, TN 37912 Phone: 865-409-2242 Fax: 865-320-9834 | |
Dr. Lacey Dillard Puckett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 Knoxville Center Dr, Suite 2294, Knoxville, TN 37924 Phone: 865-544-1677 Fax: 865-525-3467 | |
Dr. Max E Zolman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6777 Clinton Hwy, Knoxville, TN 37912 Phone: 865-938-6769 | |
Gregory S Everett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1124 E Weisgarber Rd, Knoxville, TN 37909 Phone: 865-584-0905 Fax: 865-584-3892 | |
Frank A Carusone, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 Callahan Dr, Knoxville, TN 37912 Phone: 865-687-1232 Fax: 865-687-8256 | |
Joseph T Manning, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11124 Kingston Pike, Suite 127, Knoxville, TN 37934 Phone: 865-966-2020 Fax: 865-966-7332 |