David L Shumway, MD | |
435 2nd St, Newport, TN 37821-3703 | |
(800) 577-7707 | |
(865) 769-3476 |
Full Name | David L Shumway |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 435 2nd St, Newport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548369242 | NPI | - | NPPES |
3126232 | Other | TN | BC BS |
P00255561 | Other | TN | RAILROAD MEDICARE |
3826812 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 30388 (Tennessee) | Primary |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
David L Shumway, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: (865) 985-7234 | David L Shumway, MD 435 2nd St, Newport, TN 37821-3703 Ph: (800) 577-7707 |
Constantino Diaz Miranda, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 435 2nd Street, Newport, TN 37821 Phone: 423-625-2200 | |
Travis Fawver, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 2nd St, Newport, TN 37821 Phone: 423-625-2200 | |
Dr. Wayne Berry Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 | |
Frank Werderitch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 435 2nd St, Newport, TN 37821 Phone: 423-625-2200 |