| Cmc Physician Group | |
|
133 Hayes Street Crossville TN 38555 | |
| (931) 456-9434 | |
| (931) 456-5061 |
| Full Name | Cmc Physician Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Hayes Street, Crossville, Tennessee |
| Authorized Official Name and Position | Angel Suzanne Turner (DIRECTOR) |
| Authorized Official Contact | 9314569434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc Physician Group 421 S Main St Crossville TN 38555-5048 Ph: (931) 456-9434 | Cmc Physician Group 133 Hayes Street Crossville TN 38555 Ph: (931) 456-9434 |
| NPI Number | 1053377812 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 07/06/2009 |
| Medicare PECOS PAC ID | 3870401441 |
|---|---|
| Medicare Enrollment ID | O20040928001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053377812 | NPI | - | NPPES |
| 3284115 | Medicaid | TN | |
| 443432 | Other | TN | MEDICAID RHC |
| Provider Name | Vianney Villaruz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598778011 PECOS PAC ID: 7911096508 Enrollment ID: I20091229000043 |
| Provider Name | Hunt Dandridge Anderson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770508756 PECOS PAC ID: 8820284086 Enrollment ID: I20220902000295 |
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