Dr Kyle Mitchell Staton, MD | |
2108 E 3rd St Ste 200, Chattanooga, TN 37404-2624 | |
(423) 267-0466 | |
Not Available |
Full Name | Dr Kyle Mitchell Staton |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 2108 E 3rd St Ste 200, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144660903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 65481 (Tennessee) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 65481 (Tennessee) | Primary |
Entity Name | University Surgical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972520963 PECOS PAC ID: 0547242521 Enrollment ID: O20040603000488 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle Mitchell Staton, MD 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 Ph: (423) 267-0466 | Dr Kyle Mitchell Staton, MD 2108 E 3rd St Ste 200, Chattanooga, TN 37404-2624 Ph: (423) 267-0466 |
Dr. Julie Ann Koffron, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-5177 | |
Dr. Daniel Franklin Fisher Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2108 E 3rd St, Suite 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-8212 | |
Dr. Jason Paul Rehm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403 Phone: 423-756-7134 Fax: 423-763-4571 | |
Dr. Michael Everett Barfield, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-5177 | |
Dr. Cauley W Hayes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403 Phone: 423-756-7134 Fax: 423-763-4571 | |
William Buckley Lyman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 | |
Dr. Benjamin W Dart Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St, Ste 300, Chattanooga, TN 37403 Phone: 423-267-0466 Fax: 423-757-0775 |