Thomas M Watanabe, | |
651 Dunlop Ln, Clarksville, TN 37040-5015 | |
(931) 502-1370 | |
Not Available |
Full Name | Thomas M Watanabe |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 21 Years |
Location | 651 Dunlop Ln, Clarksville, 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 |
---|---|---|---|
1629284872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036116691 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 44158 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henderson Hospital | Henderson, NV | Hospital |
Valley Hospital Medical Center | Las vegas, NV | Hospital |
Spring Valley Hospital Medical Center | Las vegas, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shadow Emergency Physicians Pllc | 2860667375 | 103 |
Entity Name | Shadow Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184795874 PECOS PAC ID: 2860667375 Enrollment ID: O20111212000888 |
Mailing Address | Practice 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 |
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 |