John G Niethammer Iii, MD | |
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | |
(865) 977-5567 | |
(865) 980-4962 |
Full Name | John G Niethammer Iii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 37 Years |
Location | 907 E Lamar Alexander Pkwy, Maryville, 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 |
---|---|---|---|
1255392429 | NPI | - | NPPES |
64720816 | Medicaid | SD | |
3068139 | Medicaid | TN | |
300125495 | Other | TN | RR MCARE |
4023116 | Other | TN | BC/BS OF TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 19296 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blount Memorial Hospital | Maryville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Leconte Radiology Pc | 1850373705 | 22 |
Entity Name | Leconte Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447210109 PECOS PAC ID: 1850373705 Enrollment ID: O20040603001088 |
Mailing Address | Practice Location Address |
---|---|
John G Niethammer Iii, MD Po Box 1445, Indianapolis, IN 46206-1445 Ph: (866) 388-2916 | John G Niethammer Iii, MD 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 977-5567 |
Katherine Jeanne Talmont, RDMS, RT(R)(CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-981-2148 | |
Dr. Maikel Elia Botros, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5534 Fax: 865-981-2154 | |
Kevin Liaw, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 | |
Daniel W Cotten, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5567 Fax: 865-980-4962 | |
Kevin James Sentell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5567 Fax: 865-980-4962 | |
Dr. Kristen Nicole Carver, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5567 Fax: 865-980-4962 |