Elijah G Cline, MD | |
923 E Central Ave, La Follette, TN 37766-2768 | |
(423) 907-1200 | |
(865) 291-3228 |
Full Name | Elijah G Cline |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 923 E Central Ave, La Follette, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629023890 | NPI | - | NPPES |
2006049 | Other | TN | BCBS |
3161415 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 007404 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Mailing Address | Practice Location Address |
---|---|
Elijah G Cline, MD 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 Ph: () - | Elijah G Cline, MD 923 E Central Ave, La Follette, TN 37766-2768 Ph: (423) 907-1200 |
Dr. Charles T Baker Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 923 E Central Ave, La Follette, TN 37766 Phone: 423-907-1200 | |
Dr. Thomas Edwin Bishofberger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 923 E Central Ave, La Follette, TN 37766 Phone: 423-907-1200 Fax: 865-693-4064 | |
Ivy Lee Massengale, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 923 E Central Ave, La Follette, TN 37766 Phone: 423-907-1200 | |
Barry A Stewart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 923 E Central Ave, La Follette, TN 37766 Phone: 423-907-1404 |