Richard R Burdeaux Sr, DO | |
2545 Jacksboro Pike, Jacksboro, TN 37757-4847 | |
(423) 566-8181 | |
Not Available |
Full Name | Richard R Burdeaux Sr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2545 Jacksboro Pike, Jacksboro, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538104773 | NPI | - | NPPES |
3303722 | Medicaid | TN | |
P00060330 | Other | TN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1037 (Tennessee) | Primary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
---|---|
Richard R Burdeaux Sr, DO 1225 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2604 Ph: (865) 584-4747 | Richard R Burdeaux Sr, DO 2545 Jacksboro Pike, Jacksboro, TN 37757-4847 Ph: (423) 566-8181 |
Brent Webb, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2545 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-566-8181 Fax: 423-562-9692 | |
Ms. Jennie M Carter, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3170 Appalachian Highway Ste 5, Jacksboro, TN 37757 Phone: 423-566-4120 Fax: 423-566-4119 | |
Dr. Thomas Wayne Robbins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2545 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-566-8181 Fax: 423-562-9692 |