Kathleen Deponte, MD | |
935 Virginia Ave Nw, Norton, VA 24273-1818 | |
(276) 679-2729 | |
(276) 679-0578 |
Full Name | Kathleen Deponte |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 44 Years |
Location | 935 Virginia Ave Nw, Norton, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104024256 | NPI | - | NPPES |
007200781 | Medicaid | VA | |
64794456 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35177 (Virginia) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | MD35510 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lonesome Pine Hospital | Big stone gap, VA | Hospital |
Johnson City Medical Center | Johnson city, TN | Hospital |
Dickenson Community Hospital | Clintwood, VA | Hospital |
Franklin Woods Community Hospital | Johnson city, TN | Hospital |
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Empire Radiology Inc Pc | 4688655392 | 28 |
Entity Name | Mountain Empire Radiology Inc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762759 PECOS PAC ID: 4688655392 Enrollment ID: O20160712002167 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Deponte, MD 1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 Ph: (423) 979-5610 | Kathleen Deponte, MD 935 Virginia Ave Nw, Norton, VA 24273-1818 Ph: (276) 679-2729 |
J'andre O Ward, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 15th St Nw, Norton, VA 24273 Phone: 276-679-9668 | |
Srikumar Gopalan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 15th St Nw, Norton, VA 24273 Phone: 276-328-2511 |