| Bennie W Whitehead, MD | |
|
412 Devonia St, Harriman, TN 37748-2009 | |
| (865) 882-1323 | |
| (865) 291-3228 |
| Full Name | Bennie W Whitehead |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 412 Devonia St, Harriman, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437180908 | NPI | - | NPPES |
| 000000361799 | Other | KY | ANTHEM BCBS OF KY |
| 3065071 | Medicaid | TN | |
| 3058965 | Other | TN | BCBS OF TENNESSEE |
| P00255557 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 018427 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bennie W Whitehead, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: () - | Bennie W Whitehead, MD 412 Devonia St, Harriman, TN 37748-2009 Ph: (865) 882-1323 |
Jennifer Mchardy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8045 Roane Medical Center Dr, Harriman, TN 37748 Phone: 865-316-1000 | |
Douglas M Batchelor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 Fax: 865-291-3228 | |
Dr. Mirza E Morales-diaz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 412 Devonia St, Roane Medical Center, Harriman, TN 37748 Phone: 865-985-7234 Fax: 865-291-3224 | |
Charles Brooks, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 | |
John R Staley Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 Fax: 865-291-3228 | |
William J Black, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 Fax: 865-291-3228 |