| Charlie Weichin Fang, MD | |
|
13851 Highway 28, Whitwell, TN 37397-5373 | |
| (423) 653-9210 | |
| Not Available |
| Full Name | Charlie Weichin Fang |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 13851 Highway 28, Whitwell, Tennessee |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609962521 | NPI | - | NPPES |
| 3898281 | Medicaid | TN | |
| P00288351 | Other | GA | RAILROAD |
| 4087933 | Other | TN | BCBSTN |
| P00231542 | Other | TN | RAILROAD |
| 331010801A | Medicaid | GA | |
| 64088644 | Medicaid | KY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lonesome Pine Hospital | Big stone gap, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Medical | 1456721224 | 4 |
| Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 105 |
| Western Virginia Regional Emergency Physicians Llc | 4183991227 | 84 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| 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 | Park Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124737408 PECOS PAC ID: 1456721224 Enrollment ID: O20230112001648 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlie Weichin Fang, MD 12708 Early Rd, Knoxville, TN 37922-6130 Ph: (865) 310-2773 | Charlie Weichin Fang, MD 13851 Highway 28, Whitwell, TN 37397-5373 Ph: (423) 653-9210 |
Dr. Alan Dewitt Kennett Kelley, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 13851 Highway 28, Whitwell, TN 37397 Phone: 423-658-9200 | |
Mr. Jung Tae Park, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 13851 Highway 28, Whitwell, TN 37397 Phone: 423-658-9200 Fax: 423-658-2195 |