Douglas M Spaeth, MD | |
265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 | |
(800) 342-2898 | |
Not Available |
Full Name | Douglas M Spaeth |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 34 Years |
Location | 265 Brookview Centre Way Ste 400, Knoxville, 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 |
---|---|---|---|
1598708398 | NPI | - | NPPES |
P00075897 | Other | HOCKING MEDICARE RR | |
0917897 | Medicaid | OH | |
000000315934 | Other | HOCKING BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35062563S (Ohio) | Secondary |
208M00000X | Hospitalist | 57754. (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Estrella Medical Center | Phoenix, AZ | Hospital |
Bluffton Regional Medical Center | Bluffton, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Hospital Based Physicians Arizona Llc | 3274782487 | 405 |
Hospitalist Physicians Of Indiana Pc | 1052795986 | 128 |
Entity Name | Banner Hospital Based Physicians Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
Mailing Address | Practice Location Address |
---|---|
Douglas M Spaeth, MD 362 S Harding Rd, Columbus, OH 43209-1949 Ph: (614) 657-3422 | Douglas M Spaeth, MD 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 Ph: (800) 342-2898 |
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