| Eustacia L Pratt, MD | |
|
400 N State Of Franklin Rd, Ipc Hospitalist, Johnson City, TN 37604-6035 | |
| (423) 282-1480 | |
| (423) 928-1353 |
| Full Name | Eustacia L Pratt |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 400 N State Of Franklin Rd, Johnson City, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114977972 | NPI | - | NPPES |
| 3849642 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD32135 (Tennessee) | Primary |
| 208M00000X | Hospitalist | 32135 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greeneville Community Hospital | Greeneville, TN | Hospital |
| Tennova Healthcare-jefferson Memorial Hospital | Jefferson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| 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 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Mailing Address | Practice Location Address |
|---|---|
| Eustacia L Pratt, MD 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480 | Eustacia L Pratt, MD 400 N State Of Franklin Rd, Ipc Hospitalist, Johnson City, TN 37604-6035 Ph: (423) 282-1480 |
Dr. Paula Renee Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604 Phone: 423-431-1810 Fax: 423-431-1811 | |
David T Deroos, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Summer Rose Ln, Johnson City, TN 37601 Phone: 704-658-8727 | |
Dr. Clinton Steve Webb, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
Dr. Nazia Iqbal Shehzad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
Dr. Paige Mcclear, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 | |
Janice B. Schweitzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604 Phone: 423-282-0751 Fax: 423-282-1577 | |
Jim L Wilson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118 |