Joanna Shepherd, MD | |
1224 Trotwood Ave, Columbia, TN 38401-4802 | |
(931) 380-4072 | |
(931) 490-7043 |
Full Name | Joanna Shepherd |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1224 Trotwood Ave, Columbia, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407141302 | NPI | - | NPPES |
3710089 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 52185 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 52185 (Tennessee) | Primary |
Entity Name | Maury Regional Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
Mailing Address | Practice Location Address |
---|---|
Joanna Shepherd, MD 854 W James Campbell Blvd, Suite 303, Columbia, TN 38401-4659 Ph: (931) 380-4072 | Joanna Shepherd, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 380-4072 |
Bethany G Summerford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Jessica Joseph-alexis, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1220 Trotwood Ave Ste 401, Columbia, TN 38401 Phone: 931-388-8622 | |
Dr. Hany Nimr Rezk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
Anthony Donald Haase Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4072 Fax: 931-490-7043 | |
Christopher R Edwards, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Cheryl Buttram Clayton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
John Spencer Jensen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401 Phone: 931-490-7775 Fax: 931-490-7797 |