Timothy E Laseter, DO | |
1771 Madison St, Clarksville, TN 37043-4990 | |
(931) 552-6622 | |
Not Available |
Full Name | Timothy E Laseter |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1771 Madison St, Clarksville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598706384 | NPI | - | NPPES |
8B8472 | Other | TX | BCBS |
195010702 | Medicaid | TX | |
8X1238 | Other | TX | BCBS |
195010701 | Medicaid | TX | |
P00651455 | Other | TX | RAILROAD |
3300734 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1625 (Tennessee) | Secondary |
207P00000X | Emergency Medicine | N0199 (Texas) | Primary |
Entity Name | Questcare Medical Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164574489 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
Mailing Address | Practice Location Address |
---|---|
Timothy E Laseter, DO 1000 River Rd, Suite 100, Conshohocken, PA 19428-2439 Ph: (800) 355-3818 | Timothy E Laseter, DO 1771 Madison St, Clarksville, TN 37043-4990 Ph: (931) 552-6622 |
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 |