Dr Demetrio Rebano Macariola Jr, MD | |
325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604-6062 | |
(423) 439-7320 | |
(423) 439-7343 |
Full Name | Dr Demetrio Rebano Macariola Jr |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 325 N State Of Franklin Rd, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093812489 | NPI | - | NPPES |
1506884 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | MD43116 (Tennessee) | Primary |
208000000X | Pediatrics | MD43116 (Tennessee) | Secondary |
Entity Name | Medical Education Assistance Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795 |
Mailing Address | Practice Location Address |
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Dr Demetrio Rebano Macariola Jr, MD Po Box 699, Mountain Home, TN 37684-0699 Ph: (423) 439-7320 | Dr Demetrio Rebano Macariola Jr, MD 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604-6062 Ph: (423) 439-7320 |
John William Schweitzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 | |
Mrs. Priya Narayanan Jain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Jodi B Gage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Karen E Schetzina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
William Scott Dodd, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Ahmad A Wattad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 |