Kevin J Wheatley, MD | |
294 Summar Dr, Jackson, TN 38301-3915 | |
(731) 423-1932 | |
(731) 410-0367 |
Full Name | Kevin J Wheatley |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 294 Summar Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083632251 | NPI | - | NPPES |
3070786 | Medicaid | TN | |
P00264255 | Other | RAILROAD MEDICARE | |
33916 | Other | TN | TLC |
4101274 | Other | TN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23819 (Tennessee) | Primary |
Entity Name | Henry County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073765475 PECOS PAC ID: 6002898665 Enrollment ID: O20081029000244 |
Mailing Address | Practice Location Address |
---|---|
Kevin J Wheatley, MD 294 Summar Dr, Jackson, TN 38301-3915 Ph: (731) 423-1932 | Kevin J Wheatley, MD 294 Summar Dr, Jackson, TN 38301-3915 Ph: (731) 423-1932 |
Parker Panovec, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305 Phone: 731-660-8360 Fax: 731-664-7928 | |
Michael James Martin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-410-0367 | |
Melissa A Robbins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Drive, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-423-4919 | |
Dr. Ezekiel Oladejo Adetunji, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Murray Guard Dr, Jackson, TN 38305 Phone: 731-300-3168 Fax: 731-300-3169 | |
Kenneth R. Warren, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305 Phone: 731-664-0103 Fax: 731-664-5666 | |
Anna Elizabeth Glass Burgess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-664-1378 | |
Christopher Reyes Caangay, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3755 |