Daniel Box, | |
400 Berywood Trl Nw Ste B, Cleveland, TN 37312-5288 | |
(423) 472-3201 | |
(423) 476-4949 |
Full Name | Daniel Box |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 13 Years |
Location | 400 Berywood Trl Nw Ste B, Cleveland, 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 |
---|---|---|---|
1083970198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD56133 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tennova Health Care-cleveland | Cleveland, TN | Hospital |
Starr Regional Medical Center Athens | Athens, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tennessee Valley Urology Center Pc | 2062538077 | 5 |
Entity Name | Tennessee Valley Urology Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538173232 PECOS PAC ID: 2062538077 Enrollment ID: O20100928000567 |
Mailing Address | Practice Location Address |
---|---|
Daniel Box, 400 Berywood Trl Nw Ste B, Cleveland, TN 37312-5288 Ph: (423) 472-3201 | Daniel Box, 400 Berywood Trl Nw Ste B, Cleveland, TN 37312-5288 Ph: (423) 472-3201 |
Edward M Mcintire Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 400 Berywood Trl Nw, Suite B, Cleveland, TN 37312 Phone: 423-472-3201 Fax: 423-476-4949 | |
Mr. Joseph Alexander Ivey Iii, Urology Medicare: Accepting Medicare Assignments Practice Location: 400 Berywood Trl Nw Ste B, Cleveland, TN 37312 Phone: 423-472-3201 Fax: 423-476-4949 | |
Dr. Stephen W Jackson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 400 Berywood Trl Nw, Suite B, Cleveland, TN 37312 Phone: 423-472-3201 Fax: 423-476-4949 | |
Dr. Christopher C Thacker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 400 Berywood Trl Nw, Suite B, Cleveland, TN 37312 Phone: 423-472-3201 Fax: 423-476-4949 | |
Dr. Grant Pegram Simmons, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 400 Berywood Trl Nw Ste B, Cleveland, TN 37312 Phone: 423-472-3201 Fax: 423-476-4949 |