Nathan Bolton, | |
103 Bennett Rd, Oliver Springs, TN 37840-5008 | |
(865) 435-1933 | |
Not Available |
Full Name | Nathan Bolton |
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Gender | Male |
Speciality | Family Medicine |
Location | 103 Bennett Rd, Oliver Springs, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376170514 | NPI | - | NPPES |
Q058332 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 64355 (Tennessee) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Covenant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
Mailing Address | Practice Location Address |
---|---|
Nathan Bolton, 103 Bennett Rd, Oliver Springs, TN 37840-5008 Ph: (865) 435-1933 | Nathan Bolton, 103 Bennett Rd, Oliver Springs, TN 37840-5008 Ph: (865) 435-1933 |
Dr. Tersa L Lively, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Main St Ste 2, Oliver Springs, TN 37840 Phone: 865-280-1466 Fax: 865-280-1469 | |
Dr. Lora Ryzhkova, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Bennett Rd, Oliver Springs, TN 37840 Phone: 865-435-1933 | |
Dr. William B Bingham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Bennett Rd, Oliver Springs, TN 37840 Phone: 865-435-1933 Fax: 865-435-9316 | |
Carrie King White, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1030 Winter Gap Rd, Oliver Springs, TN 37840 Phone: 865-435-3918 Fax: 865-435-3920 |