| Debra Helen Eisenhower, MA | |
|
318 Donnelly St, Mountain City, TN 37683-1510 | |
| (423) 727-2100 | |
| (423) 467-3644 |
| Full Name | Debra Helen Eisenhower |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 318 Donnelly St, Mountain City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326128026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3210 (Tennessee) | Primary |
| Entity Name | Frontier Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040109000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Helen Eisenhower, MA 1167 Spratlin Park Dr, Pob 9054, Gray, TN 37615-6205 Ph: (423) 467-3600 | Debra Helen Eisenhower, MA 318 Donnelly St, Mountain City, TN 37683-1510 Ph: (423) 727-2100 |
Mrs. Amy Lynne Crosswhite, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 305 College St, Mountain City, TN 37683 Phone: 423-460-1555 Fax: 423-644-0090 | |
Jacob Douglas Mcglamery, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 N Church St, Mountain City, TN 37683 Phone: 423-727-2640 | |
Ms. Marisa Gwaltney Cornell, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 Donnelly St, Mountain City, TN 37683 Phone: 423-727-2100 Fax: 423-727-2110 | |
Mrs. Katie Halsey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 Hospital Rd, Mountain City, TN 37683 Phone: 423-727-9898 | |
Ms. Julia Iamurri, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 College Street, Mountain City, TN 37683 Phone: 423-460-1555 | |
Dr. Preston Visser, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 Donnelly St, Mountain City, TN 37683 Phone: 423-727-2100 Fax: 423-467-3644 |