Thomas J Nedumthottathil, MD | |
112 Airport Business Park Dr, Suite F, Shelbyville, TN 37160-7446 | |
(931) 685-8620 | |
(931) 685-8621 |
Full Name | Thomas J Nedumthottathil |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 112 Airport Business Park Dr, Shelbyville, 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 |
---|---|---|---|
1730241159 | NPI | - | NPPES |
4163983 | Other | TN | BCBS |
4239941 | Other | TN | BCBS |
42635 | Other | TN | MEDICAID TLC |
1507217 | Medicaid | TN | |
1516785 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42606 (Tennessee) | Primary |
207R00000X | Internal Medicine | 25MA08034600 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Adoration Home Health, Llc | Nashville, TN | Home health agency |
Lincoln Medical Center | Fayetteville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hh Health System - Lincoln Inc | 3971987900 | 10 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Lincoln Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578885620 PECOS PAC ID: 5597896225 Enrollment ID: O20100624000562 |
Entity Name | App Of Tennessee Hm, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
Entity Name | Hh Health System - Lincoln Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740914324 PECOS PAC ID: 3971987900 Enrollment ID: O20220915000695 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Nedumthottathil, MD 112 Airport Business Park Dr, Suite F, Shelbyville, TN 37160-7446 Ph: (931) 685-8620 | Thomas J Nedumthottathil, MD 112 Airport Business Park Dr, Suite F, Shelbyville, TN 37160-7446 Ph: (931) 685-8620 |
Jennifer Jewelle Feldhaus, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Dale Ave, Shelbyville, TN 37160 Phone: 931-684-9235 | |
Dr. Nnamdi Ifeanyi Eze, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Frank Martin Rd Ste 102, Shelbyville, TN 37160 Phone: 931-680-0602 Fax: 931-680-0654 | |
Dr. Clifford L Garrard Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2839 Highway 231 N, Ste 208, Shelbyville, TN 37160 Phone: 931-685-5533 Fax: 931-685-5544 | |
Clement F Bernard, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 841 Union St, Suite 101, Shelbyville, TN 37160 Phone: 931-685-4886 Fax: 931-685-6997 | |
Dr. Chris M. Marasco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Airport Drive, Suite H, Shelbyville, TN 37160 Phone: 931-680-6360 Fax: 931-680-9909 | |
Dr. Ryan Michael Carr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Frank Martin Rd Ste 102, Shelbyville, TN 37160 Phone: 931-680-0602 Fax: 931-680-0654 |