Dr Tyler G Gunderson, MD | |
118 Brown Ave Ste 103, Crossville, TN 38555 | |
(931) 484-8861 | |
(865) 374-2116 |
Full Name | Dr Tyler G Gunderson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 23 Years |
Location | 118 Brown Ave Ste 103, Crossville, 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 |
---|---|---|---|
1477765014 | NPI | - | NPPES |
036-117892 | Other | IL | PHYSICIAN LICENSE |
K39375 | Other | IL | MEDICARE |
Q041304 | Medicaid | TN | |
036117892 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036-117892 (Illinois) | Secondary |
207X00000X | Orthopaedic Surgery | 58038 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cumberland Medical Center | Crossville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covenant Medical Group Inc | 2860305463 | 281 |
Entity Name | Covenant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
Mailing Address | Practice Location Address |
---|---|
Dr Tyler G Gunderson, MD 118 Brown Ave Ste 103, Crossville, TN 38555-7740 Ph: (931) 484-8861 | Dr Tyler G Gunderson, MD 118 Brown Ave Ste 103, Crossville, TN 38555 Ph: (931) 484-8861 |
Mr. Jon Alan Simpson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 118 Brown Ave, Ste 103, Crossville, TN 38555 Phone: 931-484-8861 Fax: 931-456-1319 | |
Mrs. Susan N Pick, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 493 Lantana Rd, Crossville, TN 38555 Phone: 931-707-8383 Fax: 931-707-1076 | |
Darren E Barton, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 118 Brown Ave Ste 103, Crossville, TN 38555 Phone: 931-484-8861 Fax: 931-456-1319 |