Dr Russell Gary Tipton, MD | |
1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | |
(865) 548-1251 | |
Not Available |
Full Name | Dr Russell Gary Tipton |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 12 Years |
Location | 1364 Clifton Rd Ne, Atlanta, Georgia |
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 |
---|---|---|---|
1184981185 | NPI | - | NPPES |
Q028612 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 55637 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkwest Medical Center | Knoxville, TN | Hospital |
Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
Leconte Medical Center | Sevierville, TN | Hospital |
Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovative Pathology Services Pllc | 3476588849 | 11 |
Entity Name | Innovative Pathology Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619141306 PECOS PAC ID: 3476588849 Enrollment ID: O20080117000700 |
Mailing Address | Practice Location Address |
---|---|
Dr Russell Gary Tipton, MD 3946 Miser Station Rd, Louisville, TN 37777-3504 Ph: (865) 548-1251 | Dr Russell Gary Tipton, MD 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 Ph: (865) 548-1251 |
Dr. Anindita Devanath, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne # H185a, Atlanta, GA 30322 Phone: 404-712-8210 | |
Dr. Sarah Ashley Brooks, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3300 Buckeye Rd, Suite 178, Atlanta, GA 30341 Phone: 770-458-6103 Fax: 770-234-0437 | |
Michael Charles Horwath, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 1364 Clifton Road Ne Rm H-184, Atlanta, GA 30332 Phone: 404-727-8657 | |
Alexis Byrne Carter, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2069 Fax: 404-785-4541 | |
Dr. Kyle Thomas Bradley, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Rd Ne, H185a, Atlanta, GA 30322 Phone: 404-727-4283 | |
Abigail Goodman, DO, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-727-2519 | |
Dr. Michael Scott Howard, MD Pathology Medicare: Medicare Enrolled Practice Location: 1534 N Decatur Rd Ne, Ste 206, Atlanta, GA 30307 Phone: 404-371-0077 Fax: 404-371-1900 |