Cumberland Physician Group, Llc | |
421 S Main St # 231 Crossville TN 38555-5048 | |
(931) 459-7012 | |
(931) 510-5702 |
Full Name | Cumberland Physician Group, Llc |
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Speciality | Pain Medicine |
Location | 421 S Main St # 231, Crossville, Tennessee |
Authorized Official Name and Position | April Vonachen (EXECUTIVE VICE PRESIDENT/CFO) |
Authorized Official Contact | 9314597200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cumberland Physician Group, Llc 421 S Main St # 231 Crossville TN 38555-5048 Ph: (931) 459-7012 | Cumberland Physician Group, Llc 421 S Main St # 231 Crossville TN 38555-5048 Ph: (931) 459-7012 |
NPI Number | 1225161227 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 09/06/2023 |
Medicare PECOS PAC ID | 7517059017 |
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Medicare Enrollment ID | O20070828000491 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225161227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
Provider Name | Reynaldo A Olaechea |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1013973874 PECOS PAC ID: 3476581562 Enrollment ID: I20050729000921 |
Provider Name | Thomas A Allingham |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1184602369 PECOS PAC ID: 3173628005 Enrollment ID: I20070420000227 |
Provider Name | John E Blake |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1629290689 PECOS PAC ID: 9739230921 Enrollment ID: I20090629000492 |
Provider Name | Christopher Bell |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669424107 PECOS PAC ID: 8224187661 Enrollment ID: I20110228000680 |
Provider Name | William P Dutton |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1861472888 PECOS PAC ID: 0446421317 Enrollment ID: I20110926000565 |
Provider Name | Kenneth R Lister |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1730187980 PECOS PAC ID: 6204832009 Enrollment ID: I20111202000462 |
Provider Name | Heather M Hutchings |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134231756 PECOS PAC ID: 6406829779 Enrollment ID: I20140612001879 |
Provider Name | Rebecca A Trangco-evans |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1699930602 PECOS PAC ID: 7618162231 Enrollment ID: I20171005003779 |
Benchmark Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4929 Peavine Rd Ste 106, Crossville, TN 38571 Phone: 931-484-7442 Fax: 931-484-7994 | |
Cravens Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Lantana Rd, Crossville, TN 38555 Phone: 931-456-0881 Fax: 931-456-1511 | |
Cumberland Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Hayes Street, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061 | |
Crossville Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Cmc Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 | |
Synergy Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57 W Adams St, Crossville, TN 38555 Phone: 931-250-5433 Fax: 931-250-5434 | |
Lisa P Jones Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 W Adams St, Crossville, TN 38555 Phone: 931-787-1950 Fax: 931-787-1953 |