| Dr Bert Jackson Smith, MD | |
|
2717 E. Oakland Avenue, Johnson City, TN 37601 | |
| (423) 926-2358 | |
| (276) 258-4056 |
| Full Name | Dr Bert Jackson Smith |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 2717 E. Oakland Avenue, Johnson City, 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 |
|---|---|---|---|
| 1497839070 | NPI | - | NPPES |
| 1506626 | Medicaid | TN | |
| 7100075230 | Medicaid | KY | |
| 1506627 | Medicaid | TN | |
| 1497839070 | Medicaid | VA | |
| Q002701 | Medicaid | TN | |
| 1497839070 | Medicaid | NC | |
| P00844330 | Other | TN | RR MEDICARE |
| 5913158 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 43425 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 0101256885 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Starr Regional Medical Center Athens | Athens, TN | Hospital |
| Nhc Healthcare, Athens | Athens, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Tennessee, Pc | 8628221165 | 63 |
| Hospitalist Medicine Physicians Of Virginia Llc | 5698842235 | 72 |
| Integrated Health Transitions Pllc | 7315242302 | 13 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Cogent Healthcare Of Tennessee, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952654246 PECOS PAC ID: 8628221165 Enrollment ID: O20130110000564 |
| Entity Name | Integrated Health Transitions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922463470 PECOS PAC ID: 7315242302 Enrollment ID: O20160301000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bert Jackson Smith, MD 2717 East Oakland Avenue, Johnson City, TN 37601-1843 Ph: (423) 926-2358 | Dr Bert Jackson Smith, MD 2717 E. Oakland Avenue, Johnson City, TN 37601 Ph: (423) 926-2358 |
Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268 | |
Dr. Sheeba Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283 | |
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674 | |
Dr. Tariq Ziad Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838 | |
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
Dr. Joe Rupe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940 | |
John M Daniel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353 |