MEDICARE: DR. REBECCA TRANGCO-EVANS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	CERTIFICATE	TN
2	208VP0000X	Pain Medicine Physician	55835	TN
3	208100000X	Physical Medicine & Rehabilitation Physician	55835	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699930602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA TRANGCO-EVANS M.D.

Provider Business Mailing Address
First Line	:	49 CLEVELAND ST STE 230
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-2854
Country	:	US
Telephone Number	:	319-210-5701
Fax Number	:	931-210-5702

Provider Business Practice Location Address
First Line	:	49 CLEVELAND ST STE 230
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-2854
Country	:	US
Telephone Number	:	319-210-5701
Fax Number	:	931-210-5702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2008
Last Update Date	:	09/06/2023

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Directions to “ DR. REBECCA TRANGCO-EVANS M.D.” Practice Location

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