Jill W Wireman, MD | |
151 Lake Harbor Dr, Gray, TN 37615-2972 | |
(423) 956-3187 | |
Not Available |
Full Name | Jill W Wireman |
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Gender | Female |
Speciality | Pediatrics |
Location | 151 Lake Harbor Dr, Gray, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689679987 | NPI | - | NPPES |
3076811 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 24447 (Tennessee) | Primary |
Entity Name | State Of Franklin Healthcare Associates, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101 |
Mailing Address | Practice Location Address |
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Jill W Wireman, MD 151 Lake Harbor Dr, Gray, TN 37615-2972 Ph: (423) 956-3187 | Jill W Wireman, MD 151 Lake Harbor Dr, Gray, TN 37615-2972 Ph: (423) 956-3187 |
Dr. Stephen P Combs, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 115 Judge Gresham Rd, Suite B, Gray, TN 37615 Phone: 423-477-2885 Fax: 423-477-0113 | |
H Patrick Stern, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Christian Church Rd, Gray, TN 37615 Phone: 423-283-3060 Fax: 423-283-7441 | |
Landon S Combs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Judge Gresham Rd, Suite B, Gray, TN 37615 Phone: 423-477-2885 Fax: 423-477-0113 |