Mr Caswell Miles Jefferson Iii, SLP | |
3601 The Vanderbilt Clinic, Nashville, TN 37232-2940 | |
(615) 322-3000 | |
Not Available |
Full Name | Mr Caswell Miles Jefferson Iii |
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Gender | Male |
Speciality | Speech-language Pathologist |
Location | 3601 The Vanderbilt Clinic, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801010186 | NPI | - | NPPES |
571152749 | Other | GA | TRICARE |
571152749 | Other | GA | UNITED HEALTH CARE |
571152749 | Other | GA | MUTUAL OMAHA |
571152749 | Other | GA | AETNA |
766969817A | Other | GA | PEACHSTATE |
PENDING | Other | GA | WELLCARE |
571152749 | Other | GA | BCBS |
766969817A | Medicaid | GA | |
571152749 | Other | GA | COVENTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP006493 (Georgia) | Secondary |
235Z00000X | Speech-language Pathologist | 0000004021 (Tennessee) | Primary |
Provider Name | Vanderbilt University Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
---|---|
Mr Caswell Miles Jefferson Iii, SLP 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Mr Caswell Miles Jefferson Iii, SLP 3601 The Vanderbilt Clinic, Nashville, TN 37232-2940 Ph: (615) 322-3000 |
Miss Joann Marx, SPEECH PATHOLOGIST M Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4525 Harding Road, Nashville, TN 37205 Phone: 615-383-4141 | |
Ms. Carly Evans, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4741 Trousdale Dr, Suite 1, Nashville, TN 37220 Phone: 615-290-5397 | |
Katherine Lewton, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Bransford Ave, Nashville, TN 37204 Phone: 423-622-1551 | |
Amanda Brock, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Bransford Ave, Nashville, TN 37204 Phone: 423-622-1551 Fax: 877-856-7133 | |
Mary Alice Patton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1215 21st Ave S, Suite 6209, Nashville, TN 37232 Phone: 615-936-1597 | |
Ms. Mary E Hallum, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8044 Coley Davis Rd, Nashville, TN 37221 Phone: 615-646-4466 | |
Lakeysha Hampton, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Bransford Ave, Nashville, TN 37204 Phone: 423-622-1551 Fax: 877-856-7133 |