Blaine L Enderson, MD | |
1924 Alcoa Hwy, U114, Knoxville, TN 37920-1511 | |
(865) 305-9340 | |
(865) 305-9231 |
Full Name | Blaine L Enderson |
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Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 1924 Alcoa Hwy, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346283553 | NPI | - | NPPES |
3028291 | Medicaid | TN | |
3028290 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | MD0000018190 (Tennessee) | Primary |
Entity Name | University Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809 |
Mailing Address | Practice Location Address |
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Blaine L Enderson, MD Po Box 440473, Nashville, TN 37244-0473 Ph: (865) 670-6199 | Blaine L Enderson, MD 1924 Alcoa Hwy, U114, Knoxville, TN 37920-1511 Ph: (865) 305-9340 |
Dr. Charles Stone Mitchell, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6408 Papermill Dr, Knoxville, TN 37919 Phone: 865-588-8229 Fax: 865-212-0163 | |
Melissa Susan Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1934 Alcoa Hwy Ste D285, Knoxville, TN 37920 Phone: 865-305-9620 Fax: 865-525-3460 | |
Laura M Enomoto, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1926 Alcoa Hwy Ste 300, Knoxville, TN 37920 Phone: 865-544-9218 Fax: 865-305-8262 | |
Sung Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1819 Clinch Ave Ste 200, Knoxville, TN 37916 Phone: 865-524-3659 Fax: 865-602-3528 | |
Dr. Heath Richard Many, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9430 Park West Blvd Ste 310, Knoxville, TN 37923 Phone: 865-690-5263 Fax: 865-588-9740 | |
Dr. Gregory Panos Midis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1819 W Clinch Ave Ste 200, Knoxville, TN 37916 Phone: 865-524-3695 Fax: 865-602-3528 | |
Mariah Alexander Beasley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10810 Parkside Dr Ste 305, Knoxville, TN 37934 Phone: 865-392-3971 Fax: 865-392-3972 |