|
| |
|
1901 Cook St, Dyersburg, TN 38024-1882 | |
| (731) 286-2139 | |
| (731) 286-2201 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 1901 Cook St, Dyersburg, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962534677 | NPI | - | NPPES |
| 3350896 | Medicaid | TN | |
| 1790999456 | Other | TN | DME NPI |
| 1548228620 | Other | TN | NPI |
| 3354277 | Medicaid | TN | |
| 1568496172 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM 658 (Tennessee) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | DPM217 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
1415 E Reelfoot Ave, Union City, TN 38261-5812 Ph: (731) 885-0220 | 1901 Cook St, Dyersburg, TN 38024-1882 Ph: (731) 286-2139 |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1901 Cook St, Dyersburg, TN 38024 Phone: 731-286-2139 | |
Dr. Kelly Michelle Walker, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1950 Us Highway 51 Byp N, Suite C, Dyersburg, TN 38024 Phone: 731-325-5360 Fax: 731-325-5365 | |
Dr. Elizabeth T Lu, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 600 Us Highway 51 Byp E, Dyersburg, TN 38024 Phone: 731-287-3130 Fax: 731-287-3818 | |
Northwest Tennessee Foot Clinic, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 600 Us Highway 51 Byp E, Dyersburg, TN 38024 Phone: 731-287-3130 Fax: 731-287-3818 | |
William Melvin Steely, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 575 Mall Blvd, Suite L2, Dyersburg, TN 38024 Phone: 731-285-3338 Fax: 731-286-6331 |