Damon H Petty, MD | |
1035 S Hartmann Dr Ste 300, Lebanon, TN 37090-4064 | |
(615) 321-0200 | |
(615) 443-5488 |
Full Name | Damon H Petty |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 28 Years |
Location | 1035 S Hartmann Dr Ste 300, Lebanon, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861452195 | NPI | - | NPPES |
3877034 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 36400 (Tennessee) | Primary |
207X00000X | Orthopaedic Surgery | MD36400 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Thomas West Hospital | Nashville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tennessee Orthopaedic Alliance Pa | 5193625069 | 303 |
Entity Name | Tennessee Orthopaedic Alliance Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538153937 PECOS PAC ID: 5193625069 Enrollment ID: O20040109000069 |
Entity Name | Select Health Of Sc, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962904946 PECOS PAC ID: 7416212972 Enrollment ID: O20210623003548 |
Mailing Address | Practice Location Address |
---|---|
Damon H Petty, MD Po Box 306556, Nashville, TN 37230-6556 Ph: (865) 243-8153 | Damon H Petty, MD 1035 S Hartmann Dr Ste 300, Lebanon, TN 37090-4064 Ph: (615) 321-0200 |
Taylor George, ATC, LAT Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way Ste 110, Lebanon, TN 37090 Phone: 615-547-6700 | |
Dr. Shawn Patrick Mountain, D.O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way, Suite 110, Lebanon, TN 37090 Phone: 615-547-6700 Fax: 615-547-6707 | |
Jonathan Philip Cornelius, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way, Suite 110, Lebanon, TN 37090 Phone: 615-547-6700 Fax: 615-547-6707 | |
Martha Phillips George, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 153-210-2006 Fax: 615-443-5488 | |
Dr. Lucas Bryan Richie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way, Suite 110, Lebanon, TN 37090 Phone: 615-547-6700 Fax: 615-547-6707 | |
Matthew Thomas Sugalski, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1430 W Baddour Pkwy Ste A, Lebanon, TN 37087 Phone: 615-730-8626 | |
Roy C. Terry, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Physicians Way, Ste. 111, Lebanon, TN 37090 Phone: 615-449-0990 Fax: 615-449-4835 |