Edward D Koonce, MD | |
620 Skyline Dr, Jackson, TN 38301-3923 | |
(731) 541-5000 | |
Not Available |
Full Name | Edward D Koonce |
---|---|
Gender | Male |
Speciality | Internal Medicine - Hospice And Palliative Medicine |
Location | 620 Skyline 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 |
---|---|---|---|
1720067283 | NPI | - | NPPES |
3014037 | Medicaid | TN | |
3068372 | Other | BCBS | |
930124254 | Other | TN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 14984 (Tennessee) | Primary |
Entity Name | West Tennessee Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
Mailing Address | Practice Location Address |
---|---|
Edward D Koonce, MD 1804 Highway 45 Byp Ste 100, Jackson, TN 38305-4436 Ph: (731) 664-4220 | Edward D Koonce, MD 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000 |
John Baker, MD Internal Medicine 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. Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Lucas Carver, Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Dr. Clyde E Smith, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 | |
Brittain Douglas Little, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 Fax: 731-426-0388 |