| Dr Edward C Gray, MD | |
|
130 W Ravine Rd Ste 3a, Kingsport, TN 37660-3841 | |
| (423) 245-6101 | |
| Not Available |
| Full Name | Dr Edward C Gray |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 130 W Ravine Rd Ste 3a, 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 |
|---|---|---|---|
| 1811383706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 63102 (Tennessee) | Primary |
| 208600000X | Surgery | 042.0019056 (Vermont) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Medical Associates Inc | 8123291739 | 423 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward C Gray, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Edward C Gray, MD 130 W Ravine Rd Ste 3a, Kingsport, TN 37660-3841 Ph: (423) 245-6101 |
Mark H Kadowaki, MD Surgery Medicare: Medicare Enrolled Practice Location: 121 E Ravine Rd, Suite 200, Kingsport, TN 37660 Phone: 423-408-7050 Fax: 423-408-7054 | |
George M Testerman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5826 Fax: 423-224-6242 | |
Dr. Cheryl Stanski, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 4a, Kingsport, TN 37660 Phone: 423-392-6265 Fax: 423-392-6272 | |
Andrew Phillip Kramer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396 | |
Dr. Jeffrey R Kappa, MD Surgery Medicare: Medicare Enrolled Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-245-2396 | |
Robert Anthony Ferguson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 | |
Dr. Elizabeth Michele Jackson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396 |