| Stan Jordan Whitley, OD | |
|
312 South Main St, Covington, TN 38019 | |
| (901) 476-8614 | |
| (901) 475-1921 |
| Full Name | Stan Jordan Whitley |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 42 Years |
| Location | 312 South Main St, Covington, Tennessee |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568570232 | NPI | - | NPPES |
| 2002815 | Other | BCBS | |
| 3941840 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 909T (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bierman Whitley And Hughes Ptrs | 1557573722 | 2 |
| Provider Name | Bierman Whitley & Hughes Ptrs |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992921639 PECOS PAC ID: 1557573722 Enrollment ID: O20111221000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Stan Jordan Whitley, OD 312 South Main St, Covington, TN 38019 Ph: (901) 476-8614 | Stan Jordan Whitley, OD 312 South Main St, Covington, TN 38019 Ph: (901) 476-8614 |
Dr. Carolyn Jean Morton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 Lanny Bridges Ave, Vision Center, Covington, TN 38019 Phone: 901-475-4288 Fax: 901-476-5795 | |
Marty Hughes, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 312 S Main St, Covington, TN 38019 Phone: 901-476-8614 Fax: 901-475-1921 | |
Ronald A Stello, OD Optometrist Medicare: Medicare Enrolled Practice Location: 201 Lanny Bridges Ave, Covington, TN 38019 Phone: 901-475-4288 | |
Bierman Whitley & Hughes Ptrs Optometrist Medicare: Medicare Enrolled Practice Location: 312 S Main St, Covington, TN 38019 Phone: 901-476-8614 Fax: 901-475-1921 |