Stan Jordan Whitley, OD | |
312 South Main St, Covington, TN 38019 | |
(901) 476-8614 | |
(901) 475-1921 |
Full Name | Stan Jordan Whitley |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 41 Years |
Location | 312 South Main St, Covington, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568570232 | NPI | - | NPPES |
2002815 | Other | BCBS | |
3941840 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 909T (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bierman Whitley And Hughes Ptrs | 1557573722 | 2 |
Provider Name | Bierman Whitley & Hughes Ptrs |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992921639 PECOS PAC ID: 1557573722 Enrollment ID: O20111221000259 |
Mailing Address | Practice Location Address |
---|---|
Stan Jordan Whitley, OD 312 South Main St, Covington, TN 38019 Ph: (901) 476-8614 | Stan Jordan Whitley, OD 312 South Main St, Covington, TN 38019 Ph: (901) 476-8614 |
Dr. Carolyn Jean Morton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 Lanny Bridges Ave, Vision Center, Covington, TN 38019 Phone: 901-475-4288 Fax: 901-476-5795 | |
Marty Hughes, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 312 S Main St, Covington, TN 38019 Phone: 901-476-8614 Fax: 901-475-1921 | |
West Tennessee Eye Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1999 Hwy 51 South, Suite B, Covington, TN 38019 Phone: 901-872-2020 Fax: 901-358-7574 | |
Ronald A Stello, OD Optometrist Medicare: Medicare Enrolled Practice Location: 201 Lanny Bridges Ave, Covington, TN 38019 Phone: 901-475-4288 | |
Bierman Whitley & Hughes Ptrs Optometrist Medicare: Medicare Enrolled Practice Location: 312 S Main St, Covington, TN 38019 Phone: 901-476-8614 Fax: 901-475-1921 |