Dr Grant Michael Clark, MD | |
1915 White Avenue, Knoxville, TN 37916-2399 | |
(865) 331-1155 | |
(865) 331-3165 |
Full Name | Dr Grant Michael Clark |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 15 Years |
Location | 1915 White Avenue, Knoxville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700029626 | NPI | - | NPPES |
Q005973 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 51020 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
Cumberland Medical Center | Crossville, TN | Hospital |
Leconte Medical Center | Sevierville, TN | Hospital |
Parkwest Medical Center | Knoxville, TN | Hospital |
Morristown Hamblen Hospital Association | Morristown, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Tennessee Radiation Oncology, P.c. | 6103917729 | 7 |
Entity Name | East Tennessee Radiation Oncology, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962589150 PECOS PAC ID: 6103917729 Enrollment ID: O20070810000144 |
Mailing Address | Practice Location Address |
---|---|
Dr Grant Michael Clark, MD P.o. Box 24120, Knoxville, TN 37933-2120 Ph: (865) 803-4321 | Dr Grant Michael Clark, MD 1915 White Avenue, Knoxville, TN 37916-2399 Ph: (865) 331-1155 |
John Texada, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4709 Papermill Dr Ste 201, Knoxville, TN 37909 Phone: 865-766-6870 | |
Alyssa Louise Dutton, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7500 Mountie Lane, Knoxville, TN 37924 Phone: 865-919-4842 | |
James Scott Schauberger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Weisgarber Rd Ste 102, Knoxville, TN 37909 Phone: 865-558-9862 Fax: 865-584-3478 | |
Scott A Wegryn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484 | |
Dr. Deborah Ann Winters, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 Dowell Springs Blvd Ste 200, Knoxville, TN 37909 Phone: 865-584-0291 Fax: 865-584-4426 | |
Samuel H Feaster, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484 | |
Dr. Barrett Chase Thomas, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Weisgarber Rd Ste 102, Knoxville, TN 37909 Phone: 865-558-9862 Fax: 865-584-3478 |