Dr Thomas Terrell, MD | |
110 Executive Park Dr, Clinton, TN 37716 | |
(865) 494-9241 | |
(865) 494-0895 |
Full Name | Dr Thomas Terrell |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 110 Executive Park Dr, Clinton, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083703003 | NPI | - | NPPES |
1522707 | Other | TN | MEDICAID PTAN UFP |
P00923551 | Other | TN | RR MEDICARE UFP |
1522707 | Medicaid | TN | |
3373352 | Other | TN | MEDICARE GRP UFP |
103I083671 | Other | TN | MEDICARE PTAN UFP |
000352900 | Medicaid | FL | |
4278768 | Other | TN | BCBS TN UFP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 038858 (Tennessee) | Secondary |
207Q00000X | Family Medicine | 038858 (Tennessee) | Primary |
Entity Name | University Of Tennessee |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295751386 PECOS PAC ID: 3072421213 Enrollment ID: O20040110000145 |
Entity Name | Parkwest Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Terrell, MD 110 Executive Park Dr, Clinton, TN 37716-6876 Ph: (865) 494-9241 | Dr Thomas Terrell, MD 110 Executive Park Dr, Clinton, TN 37716 Ph: (865) 494-9241 |
Dr. Jose J Malagon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 Fax: 865-457-7178 | |
Dr. Gonzalo Rafael De Villa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 | |
Dr. Christopher Ryan Hagenson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 | |
Mary Hoehl, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 | |
Dr. John Thomas Daugherty, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Executive Park Dr, Clinton, TN 37716 Phone: 865-494-9241 Fax: 865-494-2522 | |
Wendy Noelle May, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-4702 Fax: 865-457-7178 |