Dr Walter John Jermakowicz, MD, PHD | |
105 S Willow Ave, Cookeville, TN 38501-4667 | |
(931) 372-7716 | |
(931) 372-7717 |
Full Name | Dr Walter John Jermakowicz |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 13 Years |
Location | 105 S Willow Ave, Cookeville, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922369750 | NPI | - | NPPES |
Q054619 | Medicaid | TN | |
58744 | Other | TN | TENNESSEE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 58744 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
Cumberland Medical Center | Crossville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Campbell Clinic Pc | 9638082076 | 142 |
Entity Name | Campbell Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20040615000216 |
Entity Name | Upper Cumberland Orthopedic Surgery, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184610859 PECOS PAC ID: 9638159874 Enrollment ID: O20040720001242 |
Entity Name | West Tennessee Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
Entity Name | Vanderbilt University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
---|---|
Dr Walter John Jermakowicz, MD, PHD 105 S Willow Ave, Cookeville, TN 38501-4667 Ph: (931) 372-7716 | Dr Walter John Jermakowicz, MD, PHD 105 S Willow Ave, Cookeville, TN 38501-4667 Ph: (931) 372-7716 |
Dr. Joseph A Jestus, M.D. Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 105 S Willow Ave, Suite 200, Cookeville, TN 38501 Phone: 931-372-7716 Fax: 931-525-1066 |