Larry Dillaha, MD is a
General Practice physician based in Mount Juliet, Tennessee. Larry Dillaha is licensed to practice in Tennessee (license number MD24875) and his current practice location is 2046 Breckenridge Dr, Mount Juliet, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 767-0074.
NPI number for Larry Dillaha is 1760769400 and his current mailing address is 2046 Breckenridge Dr, Mount Juliet, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760769400.
Physician's Profile
| Full Name | Larry Dillaha |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 2046 Breckenridge Dr, Mount Juliet, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760769400
- Provider Enumeration Date: 11/09/2011
- Last Update Date: 11/09/2011
Medical Identifiers
Medical identifiers for Larry Dillaha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760769400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | MD24875 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Dillaha is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry Dillaha, MD
2046 Breckenridge Dr,
Mount Juliet, TN 37122-6305
Ph: (615) 767-0074 | Larry Dillaha, MD
2046 Breckenridge Dr,
Mount Juliet, TN 37122-6305
Ph: (615) 767-0074 |
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