| Ernest G. Buchanan, Iv, M.d., Pc | |
|
1101 Neal St Cookeville TN 38501-0901 | |
| (931) 528-7797 | |
| (931) 372-0098 |
| Full Name | Ernest G. Buchanan, Iv, M.d., Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 Neal St, Cookeville, Tennessee |
| Authorized Official Name and Position | Ernest Grover Buchanan (OWNER) |
| Authorized Official Contact | 9315287797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest G. Buchanan, Iv, M.d., Pc 1101 Neal St Cookeville TN 38501-0901 Ph: (931) 528-7797 | Ernest G. Buchanan, Iv, M.d., Pc 1101 Neal St Cookeville TN 38501-0901 Ph: (931) 528-7797 |
| NPI Number | 1740478486 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 07/01/2009 |
| Medicare PECOS PAC ID | 9335036557 |
|---|---|
| Medicare Enrollment ID | O20090630000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740478486 | NPI | - | NPPES |
| 3723418 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30853 (Tennessee) | Primary |
| Provider Name | Ernest G Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720088974 PECOS PAC ID: 3274431218 Enrollment ID: I20031229000542 |
| Provider Name | Katherine M Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699142364 PECOS PAC ID: 5092018879 Enrollment ID: I20160128001661 |
| Provider Name | Margaux Williams Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326440777 PECOS PAC ID: 8820394018 Enrollment ID: I20160315000934 |
| Provider Name | Shawn Billingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508530734 PECOS PAC ID: 2860899382 Enrollment ID: I20210927002202 |
| Provider Name | Abigail Rose Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336898980 PECOS PAC ID: 7618342023 Enrollment ID: I20230417000329 |
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Kenny W. Lynn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Cedar Ave, Cookeville, TN 38501 Phone: 931-528-7418 Fax: 931-525-6165 | |
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Interstate Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 190, Cookeville, TN 38501 Phone: 931-526-1604 | |
Benchmark Pt - Cookeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
1101 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
Urgent Team Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 S Jefferson Ave Ste 101, Cookeville, TN 38501 Phone: 931-303-0958 Fax: 931-854-1545 |