| Mr Tim A Perry, LPC MHSP MA | |
|
26 Midway St, Bristol Regional Counseling Center, Bristol, TN 37620 | |
| (423) 989-4500 | |
| (423) 989-4568 |
| Full Name | Mr Tim A Perry |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 26 Midway St, Bristol, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891884102 | NPI | - | NPPES |
| 351654200 | Other | DOL WORKERS COMP | |
| 620582605 | Other | THREE RIVERS PROVI GROUP | |
| 620582605 | Other | HIGHLANDS WELLMONT | |
| 620582605 | Other | INITIAL GROUP GROUP | |
| 010149380 | Other | VIRGINIA MEDICAID BRCC | |
| 217324 | Other | ANTHEM PROF TRIGON | |
| 334969 | Other | VALUEOPTIONS GROUP | |
| 4013483 | Other | MAGELLAN NAVIGATOR | |
| 620582605 | Other | BEECH STREET | |
| 620582605 | Other | CORPHEALTH | |
| 269963 | Other | COMPSYCH | |
| 010149371 | Other | VIRGINIA MEDICAID JOHNSON | |
| 4013483 | Other | MAGELLAN SUMMIT | |
| 4013483 | Other | MAGELLAN PINNACLE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC1447 (Tennessee) | Secondary |
| 101YP2500X | Counselor - Professional | 1447 (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 |
|---|---|
| Mr Tim A Perry, LPC MHSP MA 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Mr Tim A Perry, LPC MHSP MA 26 Midway St, Bristol Regional Counseling Center, Bristol, TN 37620 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 |