| Ernest G. Buchanan, Iv, M.d., Pc | |
| 1101 Neal St Cookeville TN 38501-0901 | |
| (931) 528-7797 | |
| (931) 372-0098 | 
| Full Name | Ernest G. Buchanan, Iv, M.d., Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1101 Neal St, Cookeville, Tennessee | 
| Authorized Official Name and Position | Ernest Grover Buchanan (OWNER) | 
| Authorized Official Contact | 9315287797 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ernest G. Buchanan, Iv, M.d., Pc 1101 Neal St Cookeville TN 38501-0901 Ph: (931) 528-7797 | Ernest G. Buchanan, Iv, M.d., Pc 1101 Neal St Cookeville TN 38501-0901 Ph: (931) 528-7797 | 
| NPI Number | 1740478486 | 
|---|---|
| Provider Enumeration Date | 10/09/2007 | 
| Last Update Date | 07/01/2009 | 
| Medicare PECOS PAC ID | 9335036557 | 
|---|---|
| Medicare Enrollment ID | O20090630000267 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740478486 | NPI | - | NPPES | 
| 3723418 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 30853 (Tennessee) | Primary | 
| Provider Name | Ernest G Buchanan | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1720088974 PECOS PAC ID: 3274431218 Enrollment ID: I20031229000542 | 
| Provider Name | Katherine M Little | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1699142364 PECOS PAC ID: 5092018879 Enrollment ID: I20160128001661 | 
| Provider Name | Margaux Williams Maynard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326440777 PECOS PAC ID: 8820394018 Enrollment ID: I20160315000934 | 
| Provider Name | Abigail Rose Thornton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336898980 PECOS PAC ID: 7618342023 Enrollment ID: I20230417000329 | 
| Kenny W. Lynn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Cedar Ave, Cookeville, TN 38501 Phone: 931-528-7418 Fax: 931-525-6165 | |
| Tennessee Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 102, Cookeville, TN 38501 Phone: 931-651-1918 Fax: 931-651-1912 | |
| Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
| 1101 Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
| Crossroads Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 S Jefferson Ave Ste 101, Cookeville, TN 38501 Phone: 931-303-0958 Fax: 931-854-1545 | |
| North Willow Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 N Willow Ave, Cookeville, TN 38501 Phone: 931-372-7788 Fax: 031-372-7799 | |
| Quality Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W 5th St, Cookeville, TN 38501 Phone: 931-526-1688 Fax: 931-372-0234 |