Jaime Ponce Portugal, Md, MEDICAL DOCTOR | |
7405 Shallowford Road, Suite 160, Chattanooga, TN 37421 | |
(706) 278-6403 | |
(706) 278-0087 |
Full Name | Jaime Ponce Portugal, Md |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 7405 Shallowford Road, Chattanooga, 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 |
---|---|---|---|
1245280023 | NPI | - | NPPES |
00815361A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 046635 (Georgia) | Secondary |
208600000X | Surgery | 36423 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Health Partners Foundation, Inc | 8022919570 | 298 |
Entity Name | Memorial Health Partners Foundation, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
Mailing Address | Practice Location Address |
---|---|
Jaime Ponce Portugal, Md, MEDICAL DOCTOR 1949 Gunbarrel Road,, Suite 230, Chattanooga, TN 37421 Ph: (423) 495-4620 | Jaime Ponce Portugal, Md, MEDICAL DOCTOR 7405 Shallowford Road, Suite 160, Chattanooga, TN 37421 Ph: (706) 278-6403 |
Dr. Julie Ann Koffron, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-5177 | |
Dr. Daniel Franklin Fisher Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2108 E 3rd St, Suite 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-8212 | |
Dr. Jason Paul Rehm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403 Phone: 423-756-7134 Fax: 423-763-4571 | |
Dr. Michael Everett Barfield, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-5177 | |
Dr. Cauley W Hayes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403 Phone: 423-756-7134 Fax: 423-763-4571 | |
William Buckley Lyman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 | |
Dr. Benjamin W Dart Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St, Ste 300, Chattanooga, TN 37403 Phone: 423-267-0466 Fax: 423-757-0775 |