Jackie Allen Livesay Jr, MD | |
908 W 4th North St, Morristown, TN 37814-3894 | |
(423) 492-5400 | |
(865) 291-3228 |
Full Name | Jackie Allen Livesay Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 908 W 4th North St, Morristown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811944002 | NPI | - | NPPES |
3842851 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 30899 (Tennessee) | Primary |
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 |
---|---|
Jackie Allen Livesay Jr, MD 1032 Ashley Ct, Morristown, TN 37814-1699 Ph: () - | Jackie Allen Livesay Jr, MD 908 W 4th North St, Morristown, TN 37814-3894 Ph: (423) 492-5400 |
Dr. Georgia K Tye, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 726 Mcfarland St, Morristown, TN 37814 Phone: 423-522-6560 Fax: 423-587-4552 | |
Valerie A Hart, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2351 Windswept Way, Morristown, TN 37814 Phone: 937-631-0160 | |
Dr. Terry Curtis Fultz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-492-9000 | |
Probo H Castillo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-586-4234 Fax: 865-985-7077 | |
Dr. James Zheng Yu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-586-4231 Fax: 865-291-3228 | |
Stephen T Gore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-586-4231 Fax: 865-291-3228 | |
Charlene A Doyle, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-586-4231 Fax: 865-985-7077 |