| Joseph F Smiddy, MD | |
|
208 Front St W, Coeburn, VA 24230 | |
| (276) 455-5556 | |
| (276) 455-5557 |
| Full Name | Joseph F Smiddy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 208 Front St W, Coeburn, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487606729 | NPI | - | NPPES |
| C05950 | Other | VA | TRAILBLAZER GROUP PTAN |
| 055803 | Other | VA | ANTHEM |
| 1738991 | Other | TN | UNITED HEALTHCARE |
| 2005685 | Other | TN | BLUE CROSS BLUE SHIELD |
| 5983040 | Other | TN | AETNA |
| 006014267 | Other | VA | VIRGINIA MEDICAID |
| 3153299 | Medicaid | TN | |
| 62134825602 | Other | TN | JOHN DEERE HEALTHCARE |
| 64740723 | Other | KY | KENTUCKY MEDICAID |
| 100023154 | Other | TN | PHP TENN CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 0101018713 (Virginia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 33413 (Tennessee) | Primary |
| Entity Name | Appalachian Center For Excellence In Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003380759 PECOS PAC ID: 6507108545 Enrollment ID: O20190423002833 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph F Smiddy, MD Po Box 90, Coeburn, VA 24230-0090 Ph: (276) 455-5556 | Joseph F Smiddy, MD 208 Front St W, Coeburn, VA 24230 Ph: (276) 455-5556 |
Dr. Gucharan S Kanwal, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 116 Centre Ave Ne, Coeburn, VA 24230 Phone: 276-395-6244 Fax: 276-395-3058 | |
Thomas E Renfro, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 515 Front St W, Coeburn, VA 24230 Phone: 276-395-2389 Fax: 276-395-6634 |