Dr Larry Michael Toffoletto, MD | |
1817 W Morris Blvd, Morristown, TN 37813-2837 | |
(423) 581-3904 | |
Not Available |
Full Name | Dr Larry Michael Toffoletto |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1817 W Morris Blvd, Morristown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144259920 | NPI | - | NPPES |
4100810 | Other | TN | BLUE CROSS |
5440528 | Medicaid | TN | |
64096969 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD22161 (Tennessee) | Secondary |
208000000X | Pediatrics | MD22161 (Tennessee) | Primary |
Entity Name | Summit Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Michael Toffoletto, MD 1225 E Weisgarber Rd Ste 200, Knoxville, TN 37909-2675 Ph: (865) 584-4747 | Dr Larry Michael Toffoletto, MD 1817 W Morris Blvd, Morristown, TN 37813-2837 Ph: (423) 581-3904 |
Renee A Salansky, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1817 W Morris Blvd, Morristown, TN 37813 Phone: 423-581-3904 Fax: 423-581-6120 | |
John W Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1817 W Morris Blvd, Morristown, TN 37813 Phone: 423-581-3904 Fax: 423-581-6120 | |
Mary E Bukovitz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1817 W Morris Blvd, Morristown, TN 37813 Phone: 423-581-3904 Fax: 423-581-6120 | |
Eric G Delay, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 420 W Morris Blvd, Ste. 400g, Morristown, TN 37813 Phone: 423-581-2538 Fax: 423-581-2660 | |
David V Willbanks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1817 W Morris Blvd, Morristown, TN 37813 Phone: 423-581-3904 Fax: 423-581-6120 | |
R Alan Jamison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1817 W Morris Blvd, Morristown, TN 37813 Phone: 423-581-3904 Fax: 423-581-6120 |