William Jeffrey Broome, MD | |
2018 Clinch Ave, Knoxville, TN 37916-2301 | |
(865) 541-8105 | |
(865) 541-8713 |
Full Name | William Jeffrey Broome |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2018 Clinch Ave, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588924526 | NPI | - | NPPES |
Q068209 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4464 (Tennessee) | Primary |
Entity Name | Musc Affiliate Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548849482 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996 |
Mailing Address | Practice Location Address |
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William Jeffrey Broome, MD Po Box 15004, Knoxville, TN 37901-5004 Ph: (865) 541-8895 | William Jeffrey Broome, MD 2018 Clinch Ave, Knoxville, TN 37916-2301 Ph: (865) 541-8105 |
Megan Mills, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4741 N Broadway St Ste B, Knoxville, TN 37918 Phone: 865-687-1940 | |
Thomas H. Lowry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2587 Willow Point Way, Knoxville, TN 37931 Phone: 865-470-2560 Fax: 865-691-5883 | |
Kelly Patrice Boggan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 Dutch Valley Dr, Knoxville, TN 37918 Phone: 865-689-1122 Fax: 865-689-2923 | |
Mrs. Stephanie Stapleton Shults, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9142 S Northshore Dr, Knoxville, TN 37922 Phone: 865-670-1560 Fax: 865-670-1862 | |
Michael R Liske, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916 Phone: 865-971-6897 Fax: 865-971-1597 | |
Dr. Wilson Scout Robinson Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2121 Highland Ave, Knoxville, TN 37916 Phone: 865-525-2640 Fax: 865-525-9536 | |
Shahid Ahmed Malik, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2018 Clinch Avenue, Knoxville, TN 37916 Phone: 865-541-8266 Fax: 865-541-8553 |