| Mr John Christopher Braddock, LPC | |
|
26 Midway St, Bristol, TN 37620-1706 | |
| (423) 989-4500 | |
| (423) 467-3644 |
| Full Name | Mr John Christopher Braddock |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 26 Midway St, Bristol, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952558934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4388 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Frontier Health | 2860302320 | 56 |
| 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 |
|---|---|
| Mr John Christopher Braddock, LPC Po Box 9054, Gray, TN 37615-9054 Ph: (423) 467-3600 | Mr John Christopher Braddock, LPC 26 Midway St, Bristol, TN 37620-1706 Ph: (423) 989-4500 |
Diana Allison Souther, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1745 King College Rd, Bristol, TN 37620 Phone: 423-328-1289 | |
Jennifer Lauren Heglar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 310, Bristol, TN 37620 Phone: 865-909-7131 | |
Mrs. Amy Lynn Greene, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 | |
Miss Katherine Ellen Debusk, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristor Regional Counseling Center, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4568 | |
Dr. Marie Eileen Crawford, PHD Counselor Medicare: May Accept Medicare Assignments Practice Location: 739 Bluff City Hwy, Suite 5, Bristol, TN 37620 Phone: 423-217-1097 Fax: 423-217-1069 | |
Ladonna L Groves, LPC, MHSP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1145 Volunteer Pkwy, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 | |
Ms. Erin Jaclyn Rall, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway, Bristol, TN 37620 Phone: 423-989-4558 |