Andrew Judson Panos, MD | |
100 Northcrest Dr, Springfield, TN 37172-3927 | |
(615) 384-2411 | |
Not Available |
Full Name | Andrew Judson Panos |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 100 Northcrest Dr, Springfield, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396780565 | NPI | - | NPPES |
64106206 | Medicaid | KY | |
4101901 | Other | TN | BLUECROSS |
3173274 | Medicaid | TN | |
P00287014 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0000010607 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Mailing Address | Practice Location Address |
---|---|
Andrew Judson Panos, MD Po Box 633819, Cincinnati, OH 45263-0001 Ph: (865) 292-3000 | Andrew Judson Panos, MD 100 Northcrest Dr, Springfield, TN 37172-3927 Ph: (615) 384-2411 |
Love Anani, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1536 | |
Dr. Amber Allen Barry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411 | |
Gregory Micklow, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 931-647-5034 Fax: 931-552-6663 | |
Eric V. Morris, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1536 | |
David W Lawhorn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Drive, Northcrest Medical Center, Ed Department, Springfield, TN 37172 Phone: 931-647-5034 Fax: 931-552-6663 | |
Reagan Fossler, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6659 Bethlehem Rd, Springfield, TN 37172 Phone: 615-878-0568 |