| Atif Rasheed, MD | |
|
130 W Ravine Rd, Kingsport, TN 37660-3837 | |
| (423) 224-4000 | |
| (423) 224-3258 |
| Full Name | Atif Rasheed |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 130 W Ravine Rd, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437348182 | NPI | - | NPPES |
| 7100080390 | Medicaid | KY | |
| 1437348182 | Medicaid | VA | |
| 1510796 | Medicaid | TN | |
| 1512894 | Medicaid | TN | |
| 4206779 | Other | TN | BCBS OF TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 44129 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Tri-cities Observation Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
| Entity Name | Mdwatch Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548842370 PECOS PAC ID: 3870992670 Enrollment ID: O20230927001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Atif Rasheed, MD 999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632 Ph: (423) 224-3250 | Atif Rasheed, MD 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000 |
Dr. James Henry Burleson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Brookside Dr, Indian Path Hospital, Kingsport, TN 37660 Phone: 423-857-7870 Fax: 423-857-7872 | |
William D Hudson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000 | |
Mrs. Susan Watts Jeansonne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934 | |
Dr. Jeffrey Stayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-239-9737 | |
William E Devens Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000 | |
Dr. Tunga Trishul Reddy, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 Broad St, Suite 410, Kingsport, TN 37660 Phone: 423-747-1240 | |
Patrick H Spivey Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 |