| Jill Kristen Couch, DO | |
|
100 15th St Nw Ste 307, Norton, VA 24273-1616 | |
| (276) 679-9002 | |
| Not Available |
| Full Name | Jill Kristen Couch |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 100 15th St Nw Ste 307, Norton, Virginia |
| 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 |
|---|---|---|---|
| 1972561702 | NPI | - | NPPES |
| 1972561702 | Medicaid | VA | |
| Q024040 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 0102201652 (Virginia) | Primary |
| 207R00000X | Internal Medicine | 0102201652 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain Regional Personal Care Services Inc | Duffield, VA | Home health agency |
| In Home Care Inc | Wise, VA | Home health agency |
| Lonesome Pine Hospital | Big stone gap, VA | Hospital |
| Russell County Hospital | Lebanon, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Mountain View Regional Medical Center | Norton, VA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Charles Health Council Inc | 0244124584 | 11 |
| Western Virginia Regional Emergency Physicians Llc | 4183991227 | 84 |
| Wellmont Medical Associates Inc | 8123291739 | 423 |
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Entity Name | St. Charles Health Council Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801013354 PECOS PAC ID: 0244124584 Enrollment ID: O20040209001103 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
| Entity Name | Western Virginia Regional Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386183028 PECOS PAC ID: 4183991227 Enrollment ID: O20170522001368 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Kristen Couch, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Jill Kristen Couch, DO 100 15th St Nw Ste 307, Norton, VA 24273-1616 Ph: (276) 679-9002 |
Dr. Fnu Warsha, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 15th St Nw, Norton, VA 24273 Phone: 276-439-1000 | |
Dr. Mkrtich Patatanyan, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 96 15th St Nw Ste 106, Norton, VA 24273 Phone: 276-678-3488 |