| Dr Christopher A Pendola, MD | |
|
430 W Ravine Rd, Kingsport, TN 37660 | |
| (423) 245-3161 | |
| Not Available |
| Full Name | Dr Christopher A Pendola |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 34 Years |
| Location | 430 W Ravine Rd, Kingsport, 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 |
|---|---|---|---|
| 1013018431 | NPI | - | NPPES |
| 1526971 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101054282 (Virginia) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD0000027717 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holston Valley Medical Center | Kingsport, TN | Hospital |
| Hawkins County Memorial Hospital | Rogersville, TN | Hospital |
| Franklin Woods Community Hospital | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Medical Associates Inc | 8123291739 | 432 |
| Associated Orthopaedics Of Kingsport Pc | 4789846700 | 12 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Entity Name | Associated Orthopaedics of Kingsport PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053683227 PECOS PAC ID: 4789846700 Enrollment ID: O20120508000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher A Pendola, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Dr Christopher A Pendola, MD 430 W Ravine Rd, Kingsport, TN 37660 Ph: (423) 245-3161 |
Dr. Michael Dew, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Sq Ste 200, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254 |
Pedro A Bauza-feliciano, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 |
Dr. Douglas A Wright, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 914 Broad St, Suite 3a, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254 |
Otakar Krcal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Sq, Ste 200, Kingsport, TN 37660 Phone: 423-857-1360 Fax: 423-723-0563 |
Dr. Timothy James Sullivan Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-587-5571 Fax: 423-587-5237 |
David K Garriott, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-230-8281 |
Heather Jeanette Dickson, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 201 Remington Ct, Kingsport, TN 37663 Phone: 423-863-8037 |