Demetrius Patton (NPI# 1730184730, PAC ID# 5991794331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1730184730 |
| PAC ID by PECOS | 5991794331 |
| Professional Enrollment ID | I20130129000508 |
| Full Name | Demetrius Patton |
| Organization Legal Name | TRI-RIVERS HEALTHCARE PLLC |
| Address |
110 Country Club Dr Marion KY 42064-1873 |
| Phone Number | 2709651085 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8426965278 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180095 | CRITTENDEN HEALTH SYSTEM |
| 181320 | LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC |
| 180104 | BAPTIST HEALTH PADUCAH |
| Address | Phone | Organization |
|---|---|---|
| 110 Country Club Dr, Marion, KY 42064-1873 | 2709651085 | TRI-RIVERS HEALTHCARE PLLC |
| 141 Hospital Dr, Suite 103, Salem, KY 42078-8043 | 2709883298365 | TRI-RIVERS HEALTHCARE PLLC |
| Organization Legal Name | TRI-RIVERS HEALTHCARE PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Y Harris | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 103, Salem, KY 42078-8043 |
| William Barnes | General Practice | Tri-rivers Healthcare Pllc | 110 Country Club Dr, Marion, KY 42064-1873 |
| Robert M Wilkinson | Nurse Practitioner | Tri-rivers Healthcare Pllc | 205 E Adair St, Smithland, KY 42081-9164 |
| Ghassan Yazigi | Internal Medicine | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Justin J Lewis | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Terry W Boone | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Kara Ann Phillips | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 102, Salem, KY 42078-8043 |
| Stephanie L Mundy | Nurse Practitioner | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Samantha N Greer | Nurse Practitioner | Tri-rivers Healthcare Pllc | 141 Hospital Dr, Suite 103, Salem, KY 42078-8043 |
| Street Address |
110 COUNTRY CLUB DR |
| City | MARION |
| State | KY |
| Zip | 42064-1873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Barnes | General Practice | Tri-rivers Healthcare Pllc | 110 Country Club Dr, Marion, KY 42064-1873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hazel L Joseph | General Surgery | Kentucky Surgical and Wound Services Psc | 105 Morningside Dr, Marion, KY 42064-1269 |
| Eric C Brown | Family Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Gary V James | Family Medicine | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Marcie A Ellington | Nurse Practitioner | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Kathy Crawford | Nurse Practitioner | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Robert J Jones | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Jonathan P Maddux | Family Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Andrew P Tucker | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Howard G Maddux | Family Medicine | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Shana W Geary | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Find all physicians in zip 42064 | |||
| City | MARION |
| Zip Code | 42064 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MARION + GENERAL SURGERY |
Please comment or provide details below to improve the information on Demetrius Patton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.