William P Teer, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

026042 Issued in TN

Practice address

1320 Union University Dr
Jackson, TN 38305-3780

Phone

(731) 422-7999

Fax

(731) 422-4937

NPI assigned

May 15, 2006

Last updated

Jul 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Internal Medicine

Education

University of Tennessee, HSC, College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Clinic of JacksonGroup PAC ID 6507051687, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Clinic of Jackson

  • Dermatology Physician
  • Jackson, TN
  • NPI 1073825659
  Medicare reassignment Care Compare group NPD Authorized official
• Medical Specialty Clinic P.C.

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1104877703

  Dermatology

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1720039423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053780",
            "telephone_number": "731-422-7999",
            "fax_number": "731-422-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 UNION UNIVERSITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053780",
            "telephone_number": "731-422-7999",
            "fax_number": "731-422-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEER",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "026042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4269201",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7970353",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5126690",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00892042",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3837230",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica E Teague, CASE MANAGER
• Todd Teague, MD
• Kimberly Lynn Tedford, RN
• Paula Denise Tedin-Moschovas, DNP, ACNP-BC
• Carl Jerome Teel III, DDS
• Kelsie Teet
• Aamir Telia, MD
• Tennessee Anesthesia Network Services LLC
• Tennessee Community Services Agency
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #02386)

• Dermatology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.