Kenneth L Holbert, MD | |
1559 Sparta St, Mc Minnville, TN 37110-1316 | |
(931) 815-4000 | |
Not Available |
Full Name | Kenneth L Holbert |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1559 Sparta St, Mc Minnville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093762148 | NPI | - | NPPES |
P00297030 | Other | TN | MEDICARE RAILROAD |
P00259801 | Other | TN | MEDICARE RAILROAD |
3073134 | Medicaid | TN | |
3051807 | Other | TN | BLUE CROSS |
3062431 | Other | TN | BLUE CROSS |
37513 | Other | TN | TLC TENNCARE |
532950 | Other | TN | OMNICARE TENNCARE |
3045786 | Other | TN | BLUE CROSS |
5001148 | Other | TN | TLC TENNCARE |
3333055 | Medicaid | TN | |
3073132 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 21847 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Mailing Address | Practice Location Address |
---|---|
Kenneth L Holbert, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: () - | Kenneth L Holbert, MD 1559 Sparta St, Mc Minnville, TN 37110-1316 Ph: (931) 815-4000 |
Herbert X Smith, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1559 Sparta St, Mc Minnville, TN 37110 Phone: 931-815-4000 | |
William Leon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1559 Sparta St, Mc Minnville, TN 37110 Phone: 800-893-9698 | |
Mark Timothy Weeks, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1559 Sparta St, Mc Minnville, TN 37110 Phone: 931-815-4000 |