Thomas M Watanabe, - Medicare Emergency Medicine in Clarksville, TN

Thomas M Watanabe, is a medicare enrolled "Emergency Medicine" physician in Clarksville, Tennessee. He went to Rush Medical College Of Rush University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Shadow Emergency Physicians Pllc and his current practice location is 651 Dunlop Ln, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 502-1370.

Thomas M Watanabe is licensed to practice in Tennessee (license number 44158) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629284872.

Contact Information

Thomas M Watanabe,
651 Dunlop Ln,
Clarksville, TN 37040-5015
(931) 502-1370
Not Available

Map and Direction




Physician's Profile

Full NameThomas M Watanabe
GenderMale
SpecialityEmergency Medicine
Experience21 Years
Location651 Dunlop Ln, Clarksville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas M Watanabe attended and graduated from Rush Medical College Of Rush University in 2003
  NPI Data:
  • NPI Number: 1629284872
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 07/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729187729
  • Enrollment ID: I20180522000064

Medical Identifiers

Medical identifiers for Thomas M Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629284872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036116691 (Illinois)Secondary
207P00000XEmergency Medicine 44158 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henderson HospitalHenderson, NVHospital
Valley Hospital Medical CenterLas vegas, NVHospital
Spring Valley Hospital Medical CenterLas vegas, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shadow Emergency Physicians Pllc2860667375103

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas M Watanabe allows following entities to bill medicare on his behalf.
Entity NameShadow Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184795874
PECOS PAC ID: 2860667375
Enrollment ID: O20111212000888

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas M Watanabe is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas M Watanabe,
2020 21st Ave S Ste 201,
Nashville, TN 37212-4354

Ph: (615) 269-0652
Thomas M Watanabe,
651 Dunlop Ln,
Clarksville, TN 37040-5015

Ph: (931) 502-1370

Reviews and Comments


Emergency Medicine Doctors in Clarksville, TN

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    
Manickam Krishnamurthy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.