Physician Compare National (NPI:1346388410)

HEALTHCARE PROVIDER: RHONDA BEDELL MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346388410
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476747494
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120312000485
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEDELL
	Individual professional last name
Provider First Name	RHONDA
	Individual professional first name
Provider Middle Name	LYNNE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MERCER UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHEASTERN EMERGENCY PHYSICIANS LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2466364997
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	261
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	742 MIDDLE CREEK RD
	Group Practice or individual's line 1 address
City	SEVIERVILLE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	378625019
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8659083608
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440081
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LECONTE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CUMBERLAND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	440057
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CLAIBORNE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y