Larry Elbert Perry, MD is a
General Practice physician based in Oneida, Tennessee. Larry Elbert Perry is licensed to practice in Tennessee (license number MD0000031532) and his current practice location is 20405 Alberta St, Oneida, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 569-8840.
NPI number for Larry Elbert Perry is 1104849264 and his current mailing address is Po Box 5118, Oneida, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104849264.
Physician's Profile
| Full Name | Larry Elbert Perry |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
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| Location | 20405 Alberta St, Oneida, 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: 1104849264
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Larry Elbert Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104849264 | NPI | - | NPPES |
| 3061062 | Medicaid | TN | |
| 64799612 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | MD0000031532 (Tennessee) | Primary |
| 208D00000X | General Practice | 35454 (Kentucky) | Secondary |
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 Elbert Perry 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 Elbert Perry, MD
Po Box 5118,
Oneida, TN 37841-5118
Ph: (423) 569-8840 | Larry Elbert Perry, MD
20405 Alberta St,
Oneida, TN 37841-3509
Ph: (423) 569-8840 |
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