James Darrel King, MD | |
1 Prime Care Dr, Selmer, TN 38375-1864 | |
(731) 645-7932 | |
(731) 645-5195 |
Full Name | James Darrel King |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 42 Years |
Location | 1 Prime Care Dr, Selmer, 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 |
---|---|---|---|
1144256157 | NPI | - | NPPES |
116900 | Medicaid | TN | |
12048 | Medicaid | TN | |
3123017 | Other | TN | BLUE CROSS BLUE SHIELD S |
3717101 | Medicaid | TN | |
3123019 | Other | TN | BLUE CROSS BLUE SHIELD H |
3124181 | Other | TN | BLUE CROSS BLUE SHIELD A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14266 (Tennessee) | Primary |
207Q00000X | Family Medicine | 16404 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Hardin Medical Center | Savannah, TN | Hospital |
Henderson Health And Rehabilitation Center | Henderson, TN | Nursing home |
Ahc Mcnairy County | Selmer, TN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wt University Medical Associates Inc | 3779824719 | 18 |
West Tennessee Medical Group Inc | 3971781006 | 117 |
Entity Name | West Tennessee Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
Entity Name | Wt University Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023572344 PECOS PAC ID: 3779824719 Enrollment ID: O20190401001719 |
Mailing Address | Practice Location Address |
---|---|
James Darrel King, MD 1 Prime Care Dr, Selmer, TN 38375-1864 Ph: (731) 645-7932 | James Darrel King, MD 1 Prime Care Dr, Selmer, TN 38375-1864 Ph: (731) 645-7932 |
Mary Jane Fullwood, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 832 Mulberry Ave, Selmer, TN 38375 Phone: 731-434-0200 Fax: 731-434-0203 | |
William Andrew Eason, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 |