| William Jefferson Terry Jr, MD | |
|
400 N State Of Franklin Rd, Johnson City, TN 37604 | |
| (423) 431-6111 | |
| Not Available |
| Full Name | William Jefferson Terry Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 400 N State Of Franklin Rd, Johnson City, 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 |
|---|---|---|---|
| 1134380496 | NPI | - | NPPES |
| 149810 | Medicaid | AL | |
| 511-36669 | Other | AL | BLUE CROSS BLUE SHEILD OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01093639A (Indiana) | Secondary |
| 208800000X | Urology | AL30001 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Springhill Medical Center | Mobile, AL | Hospital |
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Associates Of Mobile, P.a. | 3870497951 | 53 |
| Entity Name | Urology Associates Of Mobile, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194828368 PECOS PAC ID: 3870497951 Enrollment ID: O20031120000743 |
| Entity Name | Wiregrass Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558657890 PECOS PAC ID: 2860662491 Enrollment ID: O20110908002136 |
| Entity Name | University Of South Alabama Health Care Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508392432 PECOS PAC ID: 4082986088 Enrollment ID: O20170825003180 |
| Mailing Address | Practice Location Address |
|---|---|
| William Jefferson Terry Jr, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | William Jefferson Terry Jr, MD 400 N State Of Franklin Rd, Johnson City, TN 37604 Ph: (423) 431-6111 |
William Bradley Rogers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604 Phone: 423-926-6112 | |
Dr. John Mark Kolski, MD Urology Medicare: Not Enrolled in Medicare Practice Location: James H. Quillen/vamc, Corner Of Sidney And Lamont, Johnson City, TN 37684 Phone: 423-926-1171 | |
Dr. Bill N Boswell, M.D. Urology Medicare: Medicare Enrolled Practice Location: 508 Princeton Rd, Suite 104, Johnson City, TN 37601 Phone: 423-928-0168 Fax: 423-928-5141 | |
Thomas B Mcginnis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 300 W Watauga Ave, Johnson City, TN 37604 Phone: 423-926-6112 Fax: 423-434-0278 | |
Dr. Robert James Dray, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111 | |
Wayne P Tongco, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604 Phone: 423-926-6112 Fax: 423-434-0278 |