Dr Clyde Columbus Mathison Ii, MD is a medicare enrolled "Otolaryngology" physician in Farragut, Tennessee. His current practice location is
144 Concord Rd Dept Of, Farragut, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 777-1727.
Dr Clyde Columbus Mathison Ii is licensed to practice in Tennessee (license number 47129) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154505428.
Physician's Profile
| Full Name | Dr Clyde Columbus Mathison Ii |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 144 Concord Rd Dept Of, Farragut, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clyde Columbus Mathison Ii attended and graduated from in
NPI Data:
- NPI Number: 1154505428
- Provider Enumeration Date: 12/21/2007
- Last Update Date: 08/17/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Clyde Columbus Mathison Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154505428 | NPI | - | NPPES |
| 1523167 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 47129 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clyde Columbus Mathison Ii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Clyde Columbus Mathison Ii, MD
Farragut Ent & Allergy, 144 Concord Road,
Knoxville, TN 37934-0001
Ph: (865) 777-1727 | Dr Clyde Columbus Mathison Ii, MD
144 Concord Rd Dept Of,
Farragut, TN 37934-2901
Ph: (865) 777-1727 |
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