Dr Victor A Shada, DO | |
1264 Dayton Ave, Crossville, TN 38555-6175 | |
(931) 484-4560 | |
(931) 484-1480 |
Full Name | Dr Victor A Shada |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 1264 Dayton Ave, 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 |
---|---|---|---|
1851390728 | NPI | - | NPPES |
33068751 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1424 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Livingston, TN | Home health agency |
Quality Home Health | Jamestown, TN | Home health agency |
Camellia Home Health | Knoxville, TN | Home health agency |
Avalon Hospice | Nashville, TN | Hospice |
Cumberland Medical Center | Crossville, TN | Hospital |
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Victor A. Shada, D.o., P.c. | 2365532553 | 2 |
Entity Name | Victor A. Shada, D.o., P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407037211 PECOS PAC ID: 2365532553 Enrollment ID: O20071211000792 |
Mailing Address | Practice Location Address |
---|---|
Dr Victor A Shada, DO Po Box 887, Crossville, TN 38557-0887 Ph: (931) 484-4560 | Dr Victor A Shada, DO 1264 Dayton Ave, Crossville, TN 38555-6175 Ph: (931) 484-4560 |
Dr. Ronald James Varcak, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061 | |
Dr. Douglas Ray Carpenter Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Road, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620 | |
Dr. Lisa Payne Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 57 W Adams St, Crossville, TN 38555 Phone: 931-787-1950 Fax: 931-787-1953 | |
Beatrice L. Durham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 South Main St., Crossville, TN 38555 Phone: 931-484-2879 | |
Mr. Garland A Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5141 | |
Dr. Richard Matthew Buurman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515 | |
Dr. Stacey B Carlton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 Interstate Dr Ste 105, Crossville, TN 38555 Phone: 931-981-9809 Fax: 931-456-2844 |