Dr Eric R Nicely, MD | |
7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | |
(865) 637-9431 | |
(865) 637-8887 |
Full Name | Dr Eric R Nicely |
---|---|
Gender | Male |
Speciality | Urology |
Location | 7557 Dannaher Ln, Powell, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043210164 | NPI | - | NPPES |
1669416442 | Other | TN | GROUP NPI |
3106070 | Other | TN | BLUE CROSS |
CI2260 | Other | TN | RAILROAD MEDICARE |
3106086 | Other | TN | BLUE CROSS |
3084254 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD0000019805 (Tennessee) | Primary |
Entity Name | Tennessee Urology Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669416442 PECOS PAC ID: 7618952706 Enrollment ID: O20040622001531 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric R Nicely, MD 9724 Kingston Pike, Suite 800, Knoxville, TN 37922-3347 Ph: (865) 690-0602 | Dr Eric R Nicely, MD 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 Ph: (865) 637-9431 |
Dr. Christopher E Ramsey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7557 Dannaher Ln, Suite 230, Powell, TN 37849 Phone: 856-637-9431 Fax: 865-637-8887 | |
Dr. Charles W Reynolds, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7557 Dannaher Ln, Suite 230, Powell, TN 37849 Phone: 865-637-9431 Fax: 865-637-8887 | |
Dr. Lee Congleton Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7557 Dannaher Dr Ste 230, Powell, TN 37849 Phone: 865-938-5222 Fax: 865-938-5264 | |
Dr. Donald R Heiser, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7557 Dannaher Ln, Suite 230, Powell, TN 37849 Phone: 865-938-5222 Fax: 865-938-5264 | |
Dr. Sean Martin Delair, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7557 Dannaher Dr Ste 230, Powell, TN 37849 Phone: 865-938-5222 | |
Dr. Brian D Parker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7557 Dannaher Way, Suite 230, Powell, TN 37849 Phone: 865-938-5222 Fax: 865-938-5264 |