Angeline D Brunetto, MD | |
200 Stonecrest Blvd, Smyrna, TN 37167-6810 | |
(615) 768-2000 | |
Not Available |
Full Name | Angeline D Brunetto |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 200 Stonecrest Blvd, Smyrna, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760425300 | NPI | - | NPPES |
3815217 | Medicaid | TN | |
P00232365 | Other | TN | RAILROAD MEDICARE |
3070530 | Other | TN | BLUECROSS |
3126223 | Other | TN | BLUECROSS |
3815216 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 28786 (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 |
Mailing Address | Practice Location Address |
---|---|
Angeline D Brunetto, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: (865) 292-3000 | Angeline D Brunetto, MD 200 Stonecrest Blvd, Smyrna, TN 37167-6810 Ph: (615) 768-2000 |
Sarah Graham, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Stonecrest Blvd, Smyrna, TN 37167 Phone: 615-768-2000 | |
Karen Hunt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1332 Hazelwood Dr, Smyrna, TN 37167 Phone: 615-355-1338 Fax: 615-459-2851 | |
Michael David Anderson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Stonecrest Blvd, Smyrna, TN 37167 Phone: 615-768-2000 | |
Edmond P. Yabut, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Stonecrest Blvd, Smyrna, TN 37167 Phone: 615-768-2000 | |
Dr. Sam Smiseth Pearson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1332 Hazelwood Drive, Smyrna, TN 37167 Phone: 615-355-1338 Fax: 615-459-2851 | |
Dr. Prakashchandra B Patel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13181 Old Nashville Hwy, Suite 150, Smyrna, TN 37167 Phone: 615-355-5105 Fax: 615-355-5195 | |
Mark Edward Pratt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Stonecrest Blvd, Smyrna, TN 37167 Phone: 615-768-2000 |