| Keith Pratt, MD | |
|
851 Locust St, Rogersville, TN 37857-2407 | |
| (423) 921-7000 | |
| Not Available |
| Full Name | Keith Pratt |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 851 Locust St, Rogersville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396773669 | NPI | - | NPPES |
| 2008518 | Other | TN | BCBS OF TN |
| 3062697 | Medicaid | TN | |
| P00255399 | Other | TN | MEDICARE RAILROAD |
| 64003338 | Other | TN | MEDICAID OF KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20992 (Tennessee) | Primary |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Kingsport Primary Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023186145 PECOS PAC ID: 5799709770 Enrollment ID: O20060117000949 |
| Entity Name | Mosheim Recovery Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003562372 PECOS PAC ID: 8527453620 Enrollment ID: O20220325001820 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Pratt, MD 360 Caney Creek Rd, Rogersville, TN 37857-7600 Ph: () - | Keith Pratt, MD 851 Locust St, Rogersville, TN 37857-2407 Ph: (423) 921-7000 |
Christopher A Landess, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 851 Locust St, Rogersville, TN 37857 Phone: 423-921-7000 |