Dr Michael H De Boer, MD | |
9352 Park West Blvd, Knoxville, TN 37923-4325 | |
(865) 373-1000 | |
Not Available |
Full Name | Dr Michael H De Boer |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 36 Years |
Location | 9352 Park West Blvd, Knoxville, 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 |
---|---|---|---|
1780624809 | NPI | - | NPPES |
930005254 | Other | TN | RRGA |
4091370 | Other | TN | BLUE CROSS |
64043011 | Medicaid | KY | |
3096096 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 46604 (Kentucky) | Secondary |
207P00000X | Emergency Medicine | 19872 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Medical Center (bowling Green) | Bowling green, KY | Hospital |
Caverna Memorial Hospital | Horse cave, KY | Hospital |
The Medical Center At Franklin | Franklin, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | Afc Physicians Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114234523 PECOS PAC ID: 5395924823 Enrollment ID: O20110128000880 |
Entity Name | App Of East Tennessee Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326695537 PECOS PAC ID: 6800127796 Enrollment ID: O20191007003318 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael H De Boer, MD 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 Ph: (865) 693-1000 | Dr Michael H De Boer, MD 9352 Park West Blvd, Knoxville, TN 37923-4325 Ph: (865) 373-1000 |
Stephen Holtzclaw, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919 Phone: 865-293-5310 | |
Dr. Robert Lembersky, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8485 | |
Georganna Michelle Rosel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Dr. Thomas J Demaro, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5823 Apple Valley Dr, Knoxville, TN 37924 Phone: 561-334-3774 | |
Dr. Julie W Jeter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U67, Knoxville, TN 37920 Phone: 865-305-9350 Fax: 865-305-8681 | |
Dr. Robert K. Dickson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8000 | |
Dr. Joseph Tucker Montgomery, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 528 Dixon Rd, Knoxville, TN 37934 Phone: 865-604-3476 Fax: 865-675-0833 |