Dr Fred G Wenger Jr, DO | |
1924 Alcoa Hwy, Knoxville, TN 37920-1511 | |
(865) 544-9000 | |
(865) 539-8008 |
Full Name | Dr Fred G Wenger Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1924 Alcoa Hwy, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255362976 | NPI | - | NPPES |
3897961 | Medicaid | TN | |
P00290276 | Other | TN | RAILROAD MEDICARE |
4083217 | Other | TN | BLUE CROSS |
64084650 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1526 (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 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Mailing Address | Practice Location Address |
---|---|
Dr Fred G Wenger Jr, DO Po Box 634706, Cincinnati, OH 45263-0001 Ph: () - | Dr Fred G Wenger Jr, DO 1924 Alcoa Hwy, Knoxville, TN 37920-1511 Ph: (865) 544-9000 |
Stephen Holtzclaw, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919 Phone: 865-293-5310 | |
Dr. Robert Lembersky, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8485 | |
Georganna Michelle Rosel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Dr. Thomas J Demaro, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5823 Apple Valley Dr, Knoxville, TN 37924 Phone: 561-334-3774 | |
Dr. Julie W Jeter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U67, Knoxville, TN 37920 Phone: 865-305-9350 Fax: 865-305-8681 | |
Dr. Robert K. Dickson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8000 | |
Dr. Joseph Tucker Montgomery, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 528 Dixon Rd, Knoxville, TN 37934 Phone: 865-604-3476 Fax: 865-675-0833 |