| John D Creasy, MD | |
|
130 W Ravine Rd, Kingsport, TN 37660-3810 | |
| (423) 968-1144 | |
| (423) 968-3453 |
| Full Name | John D Creasy |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 130 W Ravine Rd, Kingsport, 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 |
|---|---|---|---|
| 1124029244 | NPI | - | NPPES |
| 64008402 | Medicaid | KY | |
| 3140729 | Other | TN | BCBS |
| R06903 | Other | TN | JOHN DEERE |
| 3844447 | Medicaid | TN | |
| 7205066 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 31555 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gaston Radiology Pa | 4082680806 | 26 |
| Entity Name | Gaston Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356324487 PECOS PAC ID: 4082680806 Enrollment ID: O20040902001290 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Creasy, MD 3053 W State St, Bristol, TN 37620-1720 Ph: (423) 968-1144 | John D Creasy, MD 130 W Ravine Rd, Kingsport, TN 37660-3810 Ph: (423) 968-1144 |
Thomas F. Pugh Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 | |
Brooks M Talton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Hvmc/radiation Oncology Dept, Kingsport, TN 37660 Phone: 423-224-5500 Fax: 423-224-5439 | |
John M. Mcmurray, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 | |
Dr. Brad W Miller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
Gert J. Van Der Westhuizen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 | |
Andrew P. Spillett, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 |