John Redus, DC is a
Chiropractor based in Jacksboro, Tennessee. John Redus is licensed to practice in Tennessee (license number DC000740) and his current practice location is
302 Main St, Jacksboro, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 566-4215.
NPI number for John Redus is 1497753982 and his current mailing address is 302 Main St, Jacksboro, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497753982.
Healthcare Provider's Profile
| Full Name | John Redus |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor |
|---|
| Location | 302 Main St, Jacksboro, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497753982
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 06/12/2012
Medical Identifiers
Medical identifiers for John Redus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497753982 | NPI | - | NPPES |
| 4026838 | Other | TN | BLUE CROSS/TENNESSEE |
| 621871597 00 | Other | TN | CRA MANAGED CARE |
| 100026514 | Other | TN | PHP TENNCARE |
| 350054860 | Other | TN | RR MEDICARE |
| 166746400 | Other | TN | OHIO WORKER COMP |
| 621871597 | Other | TN | FEDERAL EMPLOYER ID NUMBE |
| 12786 | Other | TN | CARITEN PREFERRED |
| 3675808 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC000740 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Redus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Redus, DC
302 Main St,
Jacksboro, TN 37757-2935
Ph: (423) 566-4215 | John Redus, DC
302 Main St,
Jacksboro, TN 37757-2935
Ph: (423) 566-4215 |
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