| Dr Jon William Taveau, | |
|
444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 | |
| (423) 578-1518 | |
| (423) 230-6349 |
| Full Name | Dr Jon William Taveau |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 24 Years |
| Location | 444 Clinchfield St Ste 103, 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 |
|---|---|---|---|
| 1083897086 | NPI | - | NPPES |
| Q038189 | Medicaid | TN | |
| 036123122 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
| 721089 | Other | IL | AETNA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| 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 Jon William Taveau, 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 Ph: (423) 578-1518 | Dr Jon William Taveau, 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 Ph: (423) 578-1518 |
Kenneth Wayne Smith, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Sheridan Sq, Suite 200, Kingsport, TN 37660 Phone: 423-246-8061 Fax: 423-243-8278 | |
Michael Galante, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 444 Clinchfield St Ste 103, Kingsport, TN 37660 Phone: 423-578-1518 | |
Dr. Lawrence P. Hartman, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Suite 4a, Kingsport, TN 37660 Phone: 423-392-9300 Fax: 423-392-9365 | |
Mr. David Matthew Pryputniewicz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St Ste 103, Kingsport, TN 37660 Phone: 423-578-1518 Fax: 423-230-6349 |