Dr Justin Lapollo, DO | |
2211 E Broadway Ave, Maryville, TN 37804-3078 | |
(865) 269-7582 | |
(865) 233-9046 |
Full Name | Dr Justin Lapollo |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2211 E Broadway Ave, Maryville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811124340 | NPI | - | NPPES |
Q066264 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2667 (Tennessee) | Primary |
Entity Name | Maryville Interventional Psychiatry Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184359747 PECOS PAC ID: 9133504285 Enrollment ID: O20220909003147 |
Mailing Address | Practice Location Address |
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Dr Justin Lapollo, DO 2211 E Broadway Ave, Maryville, TN 37804-3078 Ph: (865) 269-7582 | Dr Justin Lapollo, DO 2211 E Broadway Ave, Maryville, TN 37804-3078 Ph: (865) 269-7582 |
Sharon N Chastain, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1704 E Broadway Ave, Maryville, TN 37804 Phone: 865-637-9711 | |
Dr. William Denney Zimmerman, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 463 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5100 Fax: 865-980-5105 | |
William Caleb Wilson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1704 E Broadway Ave, Maryville, TN 37804 Phone: 865-637-9711 | |
Dr. Melanie Robles Fuertes-hunt, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 451 Bmh Physician Office Building, Maryville, TN 37804 Phone: 865-981-2315 Fax: 865-981-2302 | |
Dr. Kelly Noel Ownby, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 405 Ellis Ave, Maryville, TN 37804 Phone: 865-980-5377 Fax: 865-980-5376 | |
Veronica Manaois Gubatan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 405 Ellis Ave, Maryville, TN 37804 Phone: 865-980-5377 Fax: 865-980-5376 | |
Nalini Samavedy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 210 Simmons St, Maryville, TN 37801 Phone: 865-970-9800 Fax: 865-374-7129 |