| Jonathan Scott Bremer, MD | |
|
1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | |
| (423) 542-0400 | |
| (423) 542-0201 |
| Full Name | Jonathan Scott Bremer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 1503 W Elk Ave, Elizabethton, Tennessee |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336181239 | NPI | - | NPPES |
| 3007639 | Medicaid | TN | |
| 4019973 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD15225 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Kingsport, TN | Home health agency |
| Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Ivy Hall Nursing Home | Elizabethton, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Champion Physical Therapy Llc Halls | 1355416306 | 191 |
| Mountain Region Speech And Hearing Center | 8628003589 | 6 |
| 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 | Ipc Pac Healthcare Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| 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 |
|---|---|
| Jonathan Scott Bremer, MD 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 Ph: (423) 542-0400 | Jonathan Scott Bremer, MD 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 Ph: (423) 542-0400 |
Abigail Gass, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1503 W Elk Ave Ste 5, Elizabethton, TN 37643 Phone: 423-542-0400 | |
Vivian M Clark, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1503 W Elk Ave, Suite 5, Elizabethton, TN 37643 Phone: 423-542-0400 Fax: 423-542-3265 | |
Dr. Michelle Lee Davenport, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 Pine Hill Rd, Elizabethton, TN 37643 Phone: 423-542-4189 Fax: 423-542-4181 |