Manickam Krishnamurthy, MD | |
651 Dunlop Ln, Clarksville, TN 37040-5015 | |
(931) 502-1370 | |
Not Available |
Full Name | Manickam Krishnamurthy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 22 Years |
Location | 651 Dunlop Ln, Clarksville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134175987 | NPI | - | NPPES |
4151444 | Other | TN | BLUE CROSS |
40586 | Other | TN | TLC TENNCARE |
P00254465 | Other | TN | MEDICARE RAILROAD |
3328234 | Medicaid | TN | |
3328235 | Medicaid | TN | |
4105319 | Other | TN | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 42882 (Kentucky) | Secondary |
207R00000X | Internal Medicine | 42882 (Kentucky) | Secondary |
207P00000X | Emergency Medicine | 39352 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
Logan Memorial Hospital | Russellville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
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 |
Entity Name | Concord Medical Group Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
Entity Name | Putnam Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891475752 PECOS PAC ID: 3779946488 Enrollment ID: O20230829001399 |
Mailing Address | Practice Location Address |
---|---|
Manickam Krishnamurthy, MD 2020 21st Ave S Ste 201, Nashville, TN 37212-4354 Ph: () - | Manickam Krishnamurthy, MD 651 Dunlop Ln, Clarksville, TN 37040-5015 Ph: (931) 502-1370 |
John D Shields, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1771 Madison St, Clarksville, TN 37043 Phone: 931-552-6622 | |
Dr. Malcolm A Steele, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370 | |
Mark A Muiznieks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane Clarksville, Clarksville, TN 37040 Phone: 931-502-1370 | |
Dr. Russell Paul Landry Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane, Clarksville, TN 37040 Phone: 713-430-6095 | |
Dr. Timothy L Obernuefemann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2320 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842 | |
Dr. James Willis Hickerson Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370 |