Charles Lee Marcum, MD | |
1 Trillium Way, Corbin, KY 40701-8426 | |
(606) 528-1212 | |
Not Available |
Full Name | Charles Lee Marcum |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Trillium Way, Corbin, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750337440 | NPI | - | NPPES |
64289184 | Medicaid | KY | |
000000053343 | Other | KY | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 28918 (Kentucky) | 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: O20050302000285 |
Mailing Address | Practice Location Address |
---|---|
Charles Lee Marcum, MD 284 Rose Hill Ave, Versailles, KY 40383-1224 Ph: () - | Charles Lee Marcum, MD 1 Trillium Way, Corbin, KY 40701-8426 Ph: (606) 528-1212 |
Dr. Chelsea Dawn Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 | |
Dr. Bryan T Curd, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Dr. Melissa Dunaway Haddix, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Darrell A Palladino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Keith A. Clifton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
David Waymon Douglas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 |