Dr Matthew John Clark, MD | |
1 Medical Park Blvd, Bristol, TN 37620-7453 | |
(423) 844-1121 | |
Not Available |
Full Name | Dr Matthew John Clark |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 1 Medical Park Blvd, Bristol, 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 |
---|---|---|---|
1902224231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 60882 (Tennessee) | Primary |
207P00000X | Emergency Medicine | 64936-20 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Indian Path Community Hospital | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 129 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew John Clark, MD 2010 Wandering Dr, Kingsport, TN 37660-6707 Ph: () - | Dr Matthew John Clark, MD 1 Medical Park Blvd, Bristol, TN 37620-7453 Ph: (423) 844-1121 |
Thomas A Kitts, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-2100 Fax: 423-844-2120 | |
Dr. Gregory A Gerlock, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-2100 Fax: 423-844-2120 | |
Curtis K Drumwright, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-2100 Fax: 423-844-2120 | |
Dr. Robert M Coleman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3053 W State St, Bristol, TN 37620 Phone: 423-968-1144 Fax: 423-968-3453 | |
Dr. Joseph Sabry Radawi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2726 W State St, Bristol, TN 37620 Phone: 423-758-6744 | |
Dr. Laura Scieszka, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Kenneth E Turner Sr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-2100 Fax: 423-844-2120 |