Luke L Ellenburg Jr, MD | |
801 E. Church St, Greeneville, TN 37745-6219 | |
(423) 639-6848 | |
(423) 787-7210 |
Full Name | Luke L Ellenburg Jr |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 801 E. Church St, Greeneville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932119641 | NPI | - | NPPES |
31105711 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD010682 (Tennessee) | Primary |
Entity Name | Greeneville Eye Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114190535 PECOS PAC ID: 2264511690 Enrollment ID: O20080509000221 |
Mailing Address | Practice Location Address |
---|---|
Luke L Ellenburg Jr, MD 801 E. Church St, Greeneville, TN 37745-6219 Ph: (423) 639-6848 | Luke L Ellenburg Jr, MD 801 E. Church St, Greeneville, TN 37745-6219 Ph: (423) 639-6848 |
Laura Leigh Urban, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1406 Tusculum Blvd, Suite 1000, Greeneville, TN 37745 Phone: 423-693-6848 Fax: 423-787-7210 | |
William J. Smead, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 801 E. Church St, Greeneville, TN 37745 Phone: 423-639-6848 Fax: 423-787-7210 | |
Thomas Lloyd Brown, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1406 Tusculum Blvd Ste 1000, Greeneville, TN 37745 Phone: 423-639-6848 Fax: 423-787-7210 |