Dr Charles I Huddleston, MD | |
200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 | |
(865) 342-5811 | |
(865) 342-5857 |
Full Name | Dr Charles I Huddleston |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 200 Fort Sanders West Blvd, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518925825 | NPI | - | NPPES |
2005934 | Other | TN | BLUE CROSS |
4034632 | Other | TN | AETNA |
3376258 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 5764 (Tennessee) | Primary |
Entity Name | Knoxville Institute Of Dermatology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760673743 PECOS PAC ID: 7719072644 Enrollment ID: O20071005000780 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles I Huddleston, MD 200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 Ph: (865) 342-5811 | Dr Charles I Huddleston, MD 200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 Ph: (865) 342-5811 |
Dr. Drew Wilson Miller, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1928 Alcoa Hwy, Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-219-5070 | |
Dr. Matthew C Hanggi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Fox Rd, Knoxville, TN 37922 Phone: 865-690-9467 Fax: 865-637-5057 | |
Elizabeth Brittian Anderson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6516 Kingston Pike, Knoxville, TN 37919 Phone: 865-450-9361 Fax: 865-450-9362 | |
Sandra Vaughn, NP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-524-0224 | |
Anne Elizabeth Allen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920 Phone: 865-524-2547 Fax: 865-205-5601 | |
Mr. Marcus Rene Ortiz Jr., PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909 Phone: 865-524-2547 Fax: 865-205-5601 | |
Dr. Edward John Primka Iii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909 Phone: 865-524-2547 Fax: 865-205-5601 |