Jack T Roberts Jr, MD | |
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | |
(865) 980-4897 | |
(865) 977-4793 |
Full Name | Jack T Roberts Jr |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 48 Years |
Location | 907 E Lamar Alexander Pkwy, Maryville, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013958917 | NPI | - | NPPES |
3161933 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 09957 (Tennessee) | Secondary |
208M00000X | Hospitalist | MD09957 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blount Memorial Hospital | Maryville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blount Memorial Physician Group Inc | 6406844174 | 229 |
Entity Name | Blount Memorial Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
Mailing Address | Practice Location Address |
---|---|
Jack T Roberts Jr, MD 103 W Broadway Ave, Maryville, TN 37801-4703 Ph: (865) 273-1752 | Jack T Roberts Jr, MD 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 980-4897 |
Dr. Deaver T Shattuck, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722 | |
Dr. Mark Ellison Green, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 365 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5360 Fax: 865-980-5356 | |
Dr. David A Knoll, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 313 N Houston St, Maryville, TN 37801 Phone: 865-982-4824 Fax: 865-982-4825 | |
Lukas Mathews, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722 |