Charles Allen Raper, MD | |
414 Greenbelt Dr, Maryville, TN 37804-5702 | |
(865) 982-0032 | |
(866) 307-8963 |
Full Name | Charles Allen Raper |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 414 Greenbelt Dr, Maryville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487757431 | NPI | - | NPPES |
3159594 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 9277 (Tennessee) | Primary |
Entity Name | East Tennessee Children's Hospital Primary Care Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184829368 PECOS PAC ID: 2961783626 Enrollment ID: O20190411002554 |
Mailing Address | Practice Location Address |
---|---|
Charles Allen Raper, MD Po Box 15004, Knoxville, TN 37901-5004 Ph: (865) 541-8895 | Charles Allen Raper, MD 414 Greenbelt Dr, Maryville, TN 37804-5702 Ph: (865) 982-0032 |
Cindy Elaine Hoover, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 414 Greenbelt Dr, Maryville, TN 37804 Phone: 865-982-0032 Fax: 866-307-8963 | |
Dr. Caroline Lucy Fu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 Greenbelt Dr, Maryville, TN 37804 Phone: 865-982-0032 Fax: 866-307-8963 | |
Jenna Kathleen Neil Mccall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 414 Greenbelt Dr, Maryville, TN 37804 Phone: 865-982-0032 Fax: 866-307-8963 | |
Michael T Damron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 616 W Lamar Alexander Pkwy, Maryville, TN 37801 Phone: 865-518-0010 | |
Lana G Fox, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Cedar Creek Pediatric & Adolescent Medicine, Pc, 616 Smitvhiew Drive, Maryville, TN 37803 Phone: 865-379-2277 Fax: 865-738-0087 | |
Michael William Bean, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 414 Greenbelt Dr, Maryville, TN 37804 Phone: 865-982-0032 Fax: 866-307-8963 |