Mrs Jacqueline Denise Milam, MD | |
490 Dunlop Ln, Clarksville, TN 37040-5007 | |
(931) 245-8300 | |
(931) 245-8360 |
Full Name | Mrs Jacqueline Denise Milam |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 490 Dunlop Ln, Clarksville, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972584993 | NPI | - | NPPES |
Q004447 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21903 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tennova Home Health-clarksville | Clarksville, TN | Home health agency |
Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
Vanderbilt University Medical Center | Nashville, TN | Hospital |
Saint Thomas West Hospital | Nashville, TN | Hospital |
Tristar Centennial Medical Center | Nashville, TN | Hospital |
Vanderbilt Wilson County Hospital | Lebanon, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Medical Group Pc | 9739084088 | 37 |
Entity Name | Premier Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740242957 PECOS PAC ID: 9739084088 Enrollment ID: O20031201000512 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacqueline Denise Milam, MD Po Box 3799, Clarksville, TN 37043-3799 Ph: (931) 245-7000 | Mrs Jacqueline Denise Milam, MD 490 Dunlop Ln, Clarksville, TN 37040-5007 Ph: (931) 245-8300 |
Oba Hashim Hollie, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 511 8th St, Clarksville, TN 37040 Phone: 931-245-3580 Fax: 931-201-5868 | |
Jigar Kanubhai Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 274 Clear Sky Ct, Clarksville Cancer Care, Clarksville, TN 37043 Phone: 931-802-8056 Fax: 931-802-8059 | |
Dr. Fausta Ditah, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040 Phone: 931-502-3810 Fax: 931-502-3815 | |
Nathan Lidsky, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1481 Hollis Rdg, Clarksville, TN 37043 Phone: 847-987-2121 | |
James R Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 344 Peartree Dr, Clarksville, TN 37043 Phone: 931-648-1811 | |
Dr. Sriram Krishnasamy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 298 Clear Sky Ct, Suite B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648 | |
Vernon M Carrigan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8300 Fax: 931-245-8360 |