Diana Novakovic Kessler, DO | |
1508 Tombras Ave, East Ridge, TN 37412-2720 | |
(423) 867-4969 | |
(423) 867-4971 |
Full Name | Diana Novakovic Kessler |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1508 Tombras Ave, East Ridge, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295701795 | NPI | - | NPPES |
Q001061 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 02354 (Tennessee) | Secondary |
207P00000X | Emergency Medicine | 02354 (Tennessee) | Primary |
Entity Name | Middle Tennessee Emergency Physicians, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194758979 PECOS PAC ID: 3678464526 Enrollment ID: O20040322001049 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | App Of Tennessee Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
Entity Name | Tennessee River Physicians, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396282463 PECOS PAC ID: 8022387349 Enrollment ID: O20170629002555 |
Entity Name | Concord Medical Group Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
Entity Name | Rhea Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508498577 PECOS PAC ID: 7315905148 Enrollment ID: O20210721003392 |
Mailing Address | Practice Location Address |
---|---|
Diana Novakovic Kessler, DO 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Diana Novakovic Kessler, DO 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969 |
Dr. Gary Arlan Moore, MD, FAAFP, FACEP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 |