| Kenneth E Cutshall, MD | |
|
2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584 | |
| (423) 975-5650 | |
| (423) 975-5652 |
| Full Name | Kenneth E Cutshall |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 2 Professional Park Dr Ste 11, Johnson City, 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 |
|---|---|---|---|
| 1700872959 | NPI | - | NPPES |
| Q009403 | Medicaid | TN | |
| 3001652350001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD19352 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Franklin Woods Community Hospital | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Surgical Associates Pllc | 1254224181 | 54 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Premier Surgical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750449443 PECOS PAC ID: 1254224181 Enrollment ID: O20040205000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Cutshall, MD Po Box 52948, Knoxville, TN 37950-2948 Ph: (865) 306-5700 | Kenneth E Cutshall, MD 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584 Ph: (423) 975-5650 |
Dr. Melissa A Powell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 N State Of Franklin Rd, Suite 130, Johnson City, TN 37604 Phone: 423-431-2477 Fax: 423-431-2478 | |
Dr. David Northern Walters, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: James H. Quillen/vamc, Corner Of Sidney And Lamont, Johnson City, TN 37684 Phone: 423-926-1171 Fax: 423-979-3477 | |
Dr. Rebecca Erion Odom, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2333 Knob Creek Rd Ste 16, Johnson City, TN 37604 Phone: 423-975-0764 Fax: 423-975-0141 | |
Michael J Allshouse, DO Surgery Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604 Phone: 423-439-7201 Fax: 423-439-7219 | |
Isaac William Browder, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 325 N State Of Franklin Rd, 3rd Floor, Johnson City, TN 37604 Phone: 423-439-7201 Fax: 423-439-7219 | |
Ryan M Landis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604 Phone: 423-431-2477 Fax: 423-431-2478 | |
Tony O. Haley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Professional Park Dr Ste 31, Johnson City, TN 37604 Phone: 423-975-5650 Fax: 423-975-5652 |