Dr Dennis Mccracken, MD | |
710 Cornersville Rd, Lewisburg, TN 37091 | |
(931) 994-5717 | |
(931) 246-4233 |
Full Name | Dr Dennis Mccracken |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 710 Cornersville Rd, Lewisburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417900820 | NPI | - | NPPES |
3083239 | Medicaid | TN | |
930056369 | Other | TN | RAILROAD MEDICARE |
3056626 | Other | TN | BC |
3056626 | Other | TN | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 23683 (Tennessee) | Secondary |
207Q00000X | Family Medicine | MD0000023683 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Mailing Address | Practice Location Address |
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Dr Dennis Mccracken, MD 710 Cornersville Rd, Lewisburg, TN 37091 Ph: (931) 994-5717 | Dr Dennis Mccracken, MD 710 Cornersville Rd, Lewisburg, TN 37091 Ph: (931) 994-5717 |
Charles Cantieri, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Michael James Davidson, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 913-359-0019 Fax: 931-359-7381 | |
Kanthi Charan Narra, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 |