Dr Donald Charles Correll, MD | |
708 W Forest Ave, Jackson, TN 38301-3901 | |
(731) 425-6280 | |
(731) 425-4922 |
Full Name | Dr Donald Charles Correll |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 708 W Forest Ave, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013995547 | NPI | - | NPPES |
3024304 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD17640 (Tennessee) | Secondary |
207P00000X | Emergency Medicine | ME118552 (Florida) | Primary |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
Mailing Address | Practice Location Address |
---|---|
Dr Donald Charles Correll, MD Po Box 3788, Jackson, TN 38303-3788 Ph: (731) 425-6280 | Dr Donald Charles Correll, MD 708 W Forest Ave, Jackson, TN 38301-3901 Ph: (731) 425-6280 |
John Hayes, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8755 Fax: 731-660-8739 | |
Dr. William Tyler Hayden, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-343-0886 | |
Dr. Keith Alden Mosher Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301 Phone: 731-256-0526 Fax: 731-256-1720 | |
Jim C Craig Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Gloria Laws, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3784 | |
Jay Gordon Shires, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-265-8355 |