Charles N Clark, MD | |
10215 Kingston Pike, Suite 100, Knoxville, TN 37922-3222 | |
(865) 691-0733 | |
Not Available |
Full Name | Charles N Clark |
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Gender | Male |
Speciality | Internal Medicine |
Location | 10215 Kingston Pike, 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 |
---|---|---|---|
1396772828 | NPI | - | NPPES |
3820979 | Medicaid | TN | |
080064805 | Other | TN | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 29550 (Tennessee) | Primary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
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Charles N Clark, MD 1225 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2604 Ph: (865) 584-4747 | Charles N Clark, MD 10215 Kingston Pike, Suite 100, Knoxville, TN 37922-3222 Ph: (865) 691-0733 |
Corey Cudzilo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6473 Kingston Pike, Knoxville, TN 37919 Phone: 865-588-8831 Fax: 865-588-8841 | |
Dr. Joshua Weber Todd, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916 Phone: 865-546-5111 Fax: 865-541-4018 | |
Rasmi Ajit, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Fort Sanders West Blvd Ste 301, Knoxville, TN 37922 Phone: 865-690-3003 Fax: 865-374-2143 | |
Dr. Spencer Pugh, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1924 Alcoa Hwy, Department Of Medicine U-114 Gsm, Utmck, Knoxville, TN 37920 Phone: 865-305-9340 Fax: 865-305-9144 | |
Shawnt Tosonian, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1924 Alcoa Hwy # U-114, Knoxville, TN 37920 Phone: 865-305-6324 Fax: 865-305-6429 | |
Saji Eapen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Old Weisgarber Rd, Suite 200, Knoxville, TN 37909 Phone: 865-934-5800 Fax: 865-934-5801 | |
Jeffrey W Robinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6600 Nightingale Ln, Knoxville, TN 37909 Phone: 865-632-5885 |