Dum Livinus Piawa, DO | |
17 Centre Plaza Dr, Jackson, TN 38305-2862 | |
(731) 512-0104 | |
(731) 668-7388 |
Full Name | Dum Livinus Piawa |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 17 Centre Plaza Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497076327 | NPI | - | NPPES |
1396033379 | Other | TN | NPI |
Q028999 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MB09312200 (New Jersey) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 3284 (Tennessee) | Primary |
Entity Name | Delta Clinics Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396033379 PECOS PAC ID: 5193022994 Enrollment ID: O20160322001542 |
Mailing Address | Practice Location Address |
---|---|
Dum Livinus Piawa, DO 17 Centre Plaza Dr, Jackson, TN 38305-2862 Ph: (731) 512-0104 | Dum Livinus Piawa, DO 17 Centre Plaza Dr, Jackson, TN 38305-2862 Ph: (731) 512-0104 |
John Baker, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-421-6510 Fax: 731-421-6500 | |
Dr. Susan Alex, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 221 Sterling Farms Dr., Jackson, TN 38305 Phone: 731-668-4337 Fax: 731-661-0124 | |
Dr. Kelsey B Dexter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8336 | |
Kpienoba Manan Hien, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Lucas Carver, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Dr. Clyde E Smith, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 | |
Brittain Douglas Little, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 Fax: 731-426-0388 |