Maryville Pediatrics - Medicare Primary Care in Alcoa, TN

Maryville Pediatrics is a medicare enrolled primary clinic (Pediatrics) in Alcoa, Tennessee. The current practice location for Maryville Pediatrics is 352 Fountain View Cir, Alcoa, Tennessee. For appointments, you can reach them via phone at (865) 982-0032. The mailing address for Maryville Pediatrics is Po Box 50068, Knoxville, Tennessee and phone number is (865) 541-8895.

Maryville Pediatrics is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1184829368. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (865) 982-0032.

Contact Information

Maryville Pediatrics
352 Fountain View Cir
Alcoa
TN 37701-1945
(865) 982-0032
(866) 307-8963

Map and Direction


Primary Care Clinic Profile

Full NameMaryville Pediatrics
SpecialityPediatrics
Location352 Fountain View Cir, Alcoa, Tennessee
Authorized Official Name and PositionAndrew Rosendahl (CHIEF FINANCIAL OFFICER)
Authorized Official Contact8655418154
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maryville Pediatrics
Po Box 50068
Knoxville
TN 37950-0068

Ph: (865) 541-8895
Maryville Pediatrics
352 Fountain View Cir
Alcoa
TN 37701-1945

Ph: (865) 982-0032

NPI Details:

NPI Number1184829368
Provider Enumeration Date06/18/2007
Last Update Date09/05/2026
Certification Date09/05/2026

Medicare PECOS Information:

Medicare PECOS PAC ID2961783626
Medicare Enrollment IDO20190411002554

Medical Identifiers

Medical identifiers for Maryville Pediatrics such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184829368NPI-NPPES
5441765MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care ()Secondary
363LF0000XNurse Practitioner - Family ()Secondary
363LP0200XNurse Practitioner - Pediatrics ()Secondary
208000000XPediatrics ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maryville Pediatrics acts as a billing entity for following providers:
Provider NameMichael W Bean
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639272578
PECOS PAC ID: 3173802014
Enrollment ID: I20190411002829
Provider NameKayla Elaine Crye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477981868
PECOS PAC ID: 8224379441
Enrollment ID: I20190416000959
Provider NameHeather Renee Snow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063945558
PECOS PAC ID: 8123369295
Enrollment ID: I20190418001126
Provider NameHeather Stevens Wight
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780787705
PECOS PAC ID: 4587906698
Enrollment ID: I20190419000528
Provider NameCindy Elaine Hoover
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093744872
PECOS PAC ID: 2163765363
Enrollment ID: I20190509001606

Reviews and Comments

Other Primary Care Clinics in Alcoa, TN

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.