Dr Jeffery Bartholomeau Dattilo, MD | |
4230 Harding Pike Ste 705, Nashville, TN 37205-2013 | |
(615) 385-1547 | |
(615) 297-9161 |
Full Name | Dr Jeffery Bartholomeau Dattilo |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 31 Years |
Location | 4230 Harding Pike Ste 705, Nashville, 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 |
---|---|---|---|
1326022039 | NPI | - | NPPES |
Q007288 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 205177 (Massachusetts) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 36524 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Thomas West Hospital | Nashville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Surgical Clinic Pllc | 1759271695 | 52 |
Entity Name | The Surgical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417983099 PECOS PAC ID: 1759271695 Enrollment ID: O20040316000974 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffery Bartholomeau Dattilo, MD 410 42nd Ave N Ste 400, Nashville, TN 37209-3658 Ph: (615) 329-7887 | Dr Jeffery Bartholomeau Dattilo, MD 4230 Harding Pike Ste 705, Nashville, TN 37205-2013 Ph: (615) 385-1547 |
Dr. Clayton Allen Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike Ste 530, Nashville, TN 37205 Phone: 615-222-5500 Fax: 615-222-5601 | |
Dr. Patrick Davis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 393 Wallace Rd Ste 301, Nashville, TN 37211 Phone: 615-425-0550 Fax: 615-833-8287 | |
Kenneth Sharp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Mohammed Almzayyen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2146 Belcourt Ave, Vmg Business Office, Nashville, TN 37212 Phone: 615-343-6642 | |
Dr. Eric Owen Yeates, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-5000 | |
Dr. Reginald William Coopwood, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1005 Dr. D. B. Todd Blvd, Nashville, TN 37208 Phone: 615-341-4746 Fax: 615-341-4046 | |
Dr. Douglas Alan Hale, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 |