Eugene D Eddlemon, MD in Cleveland, TN - Medicare Peripheral Vascular Disease

Eugene D Eddlemon, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Cleveland, Tennessee. He graduated from medical school in 1985 and has 40 years of diverse experience with area of expertise as Peripheral Vascular Disease. He is a member of the group practice Enloe Medical Center and his current practice location is 2253 Chambliss Ave., Ste. 401, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 267-0466.

Eugene D Eddlemon is licensed to practice in Tennessee (license number MD67391) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871525477.

Contact Information

	Eugene D Eddlemon, MD
	2253 Chambliss Ave., Ste. 401, Cleveland, TN 37311
	(423) 267-0466
	(423) 778-5177

Map and Direction

Physician's Profile

Full Name	Eugene D Eddlemon
Gender	Male
Speciality	Peripheral Vascular Disease
Experience	40 Years
Location	2253 Chambliss Ave., Cleveland, 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.

Medical Education and Training:

Eugene D Eddlemon graduated from medical school in 1985

NPI Data:

NPI Number: 1871525477
Provider Enumeration Date: 07/06/2006
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1355410622
Enrollment ID: I20080513000716

Medical Identifiers

Medical identifiers for Eugene D Eddlemon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871525477	NPI	-	NPPES
Q090231	Medicaid	TN
G68376	Other	CA	BLUE CROSS/SHIELD, ETC.
00G683761	Medicaid	CA
94-3365249	Other	CA	PRIVATE PAYERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	G68376 (California)	Secondary
2086S0129X	Surgery - Vascular Surgery	G68376 (California)	Secondary
2086S0129X	Surgery - Vascular Surgery	MD67391 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Enloe Medical Center	Chico, CA	Hospital
Oroville Hospital	Oroville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Enloe Medical Center	9739092388	295

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eugene D Eddlemon allows following entities to bill medicare on his behalf.

Entity Name	Enloe Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696

Entity Name	Enloe Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1770905994 PECOS PAC ID: 9739092388 Enrollment ID: O20140421000286

Entity Name	Enloe Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1164885604 PECOS PAC ID: 9739092388 Enrollment ID: O20160511001763

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eugene D Eddlemon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Eugene D Eddlemon, MD 979 E 3rd Street, Ste. 300, Chattanooga, TN 37403-2187 Ph: (423) 267-0466	Eugene D Eddlemon, MD 2253 Chambliss Ave., Ste. 401, Cleveland, TN 37311 Ph: (423) 267-0466

Reviews and Comments

Surgery Doctors in Cleveland, TN

Dr. Jacqueline Jeanette Carter Gustafson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 Westside Dr Nw Ste 204, Cleveland, TN 37312 Phone: 423-244-9270 Fax: 423-244-9255
Joshua Worthington, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2253 Chambliss Ave Nw Ste 100, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523
William Frank Johnson Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2253 Chambliss Ave Nw, Suite 100, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523
Shannon Beierle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2175 Chambliss Ave Nw Ste D, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523
John Boxberger, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2175 Chambliss Ave Nw Ste D, Cleveland, TN 37311 Phone: 423-472-5423 Fax: 423-476-5523
Dr. Natalie Best, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2700 Westside Dr Nw Ste 204, Cleveland, TN 37312 Phone: 423-244-9270 Fax: 423-244-9255
James L Knabb, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 N Ocoee Street, Suite B, Cleveland, TN 37311 Phone: 423-479-9647 Fax: 423-479-2216

Eugene D Eddlemon, MD - Medicare Peripheral Vascular Disease in Cleveland, TN