Dr Jorge Casanova Riestra, | |
105 Ussery Rd, Clarksville, TN 37043-4530 | |
(931) 647-7321 | |
Not Available |
Full Name | Dr Jorge Casanova Riestra |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 105 Ussery Rd, Clarksville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972559219 | NPI | - | NPPES |
3042254 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD 019425 (Tennessee) | Primary |
Entity Name | Ob Hospitalist Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
Mailing Address | Practice Location Address |
---|---|
Dr Jorge Casanova Riestra, 105 Ussery Rd, Clarksville, TN 37043-4530 Ph: (931) 647-7321 | Dr Jorge Casanova Riestra, 105 Ussery Rd, Clarksville, TN 37043-4530 Ph: (931) 647-7321 |
Roberto Tapia, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 490 Dunlop Ln Bldg 2, Clarksville, TN 37040 Phone: 931-245-8100 | |
Dr. Gary L Larkins, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1824 Memorial Dr, Clarksville, TN 37043 Phone: 931-552-6070 Fax: 931-552-9896 | |
Dr. Arif Mahood, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 104 Iris Court, Clarksville, TN 37042 Phone: 931-431-6670 Fax: 931-221-3400 | |
Audrey Hicks, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1824 Memorial Dr, Clarksville, TN 37043 Phone: 931-552-6070 Fax: 931-552-9896 | |
Dr. Jeffrey V Anderson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8100 Fax: 931-245-8161 | |
Dr. Donald A Crawford, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1824 Memorial Dr, Clarksville, TN 37043 Phone: 931-552-6070 Fax: 931-552-9896 | |
Dr. William D Mcintosh, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2292 Dalton Dr, Suite C, Clarksville, TN 37043 Phone: 931-645-5595 Fax: 931-645-5596 |