Andrew R. Bejarano, DO
Individual provider Active NPI Family Medicine Physician · Powell, TN
NPI 1346207164 · NPPES record last updated Jun 1, 2015
Key facts
- NPI
- 1346207164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2791 (TN)
- Practice address
- 2125 W Emory Rd
Powell, TN 37849-3704 - Phone
- (865) 938-5911
- Fax
- (865) 938-5924
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group, PLLC
Practice addresses (Care Compare)
103 Midlake Dr Level
Knoxville, TN 37918-3039
Phone (865) 687-7704
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627
1275 Dick Lonas Rd
Knoxville, TN 37909-1326
201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627
2125 W Emory Rd
Powell, TN 37849-3704
Phone (865) 938-5911
7545 Barnett Way
Powell, TN 37849-3565
Phone (865) 824-1524
9333 Park W Blvd
Knoxville, TN 37923-4305
Hospital & facility affiliations
- Physicians Regional Medical Center
- Methodist Medical Center of Oak Ridge
- Fort Sanders Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602001750 | TN | Practitioner - Family Practice |
6901827401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 941 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Family Medicine | Current |
Accepting new patients |
| Summit Medical Group PLLC | Family Medicine | Past |
Accepting new patients |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
2125 W Emory Rd
Powell, TN 37849
Phone (865) 938-5911
Interoperability endpoints
- andrew.bejarano.1@20785.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2791 | TN | Yes |
Addresses
Primary practice location
2125 W Emory Rd
Powell, TN 37849-3704
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other providers in Powell, TN
- Freddie Thomas Barron
- Laura J. Barron
- Ronald P Barton
- Sydney Alexandra Basler
- Samantha K Bauer
- Mohamed Ghit Benlamin
- Amy E Bentley
- Stewart H Bernard
- Jennifer L Berry
- David P Binns III
All providers in Powell, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.