| Dr Thomas Duncan Makres, MD | |
|
320 Steeles Rd, Bristol, TN 37620-9532 | |
| (423) 968-2599 | |
| (423) 968-1974 |
| Full Name | Dr Thomas Duncan Makres |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 320 Steeles Rd, Bristol, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063513778 | NPI | - | NPPES |
| 002007131 | Other | TN | BLUE CROSS OF TENN |
| 006726062 | Medicaid | VA | |
| 017521 | Other | VA | BLUE CROSS ANTHEM VA |
| 621453382 | Other | TN | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD00000010083 (Tennessee) | Primary |
| Entity Name | Holston Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Duncan Makres, MD 320 Steeles Rd, Bristol, TN 37620-9532 Ph: (423) 968-2599 | Dr Thomas Duncan Makres, MD 320 Steeles Rd, Bristol, TN 37620-9532 Ph: (423) 968-2599 |
Thomas E Mitoraj, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 109 Meadow View Rd, Ste 3, Bristol, TN 37620 Phone: 423-968-4007 Fax: 423-652-2590 | |
Dr. Joanne Blow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Forest Hills Dr, Bristol, TN 37620 Phone: 423-968-5018 Fax: 423-968-2934 | |
Dr. John Richard Hovious Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 109 Meadow View Road, Suite 7, Bristol, TN 37620 Phone: 423-652-1655 Fax: 423-652-7668 | |
Dr. Jessica D Hommel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Steeles Rd, Bristol, TN 37620 Phone: 423-968-2599 |