| Mark Wan Soo Chang, MD | |
|
2428 Knob Creek Road, Johnson City, TN 37604 | |
| (423) 282-5054 | |
| (423) 230-5097 |
| Full Name | Mark Wan Soo Chang |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 38 Years |
| Location | 2428 Knob Creek Road, 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 |
|---|---|---|---|
| 1174632475 | NPI | - | NPPES |
| 790596V | Medicaid | NC | |
| 89014AT | Medicaid | NC | |
| 005867967 | Other | VA | MEDICAID OF VA |
| 3373123 | Medicaid | TN | |
| TN0102 | Other | TN | JDH |
| 320332 | Other | VA | ANTHEM |
| 4017298 | Other | TN | BCBS |
| 64001084 | Medicaid | KY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Franklin Woods Community Hospital | Johnson city, TN | Hospital |
| Greeneville Community Hospital | Greeneville, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Cardiology Services | 5799970281 | 137 |
| Wellmont Cardiology Services | 5799970281 | 137 |
| Entity Name | Wellmont Cardiology Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376575035 PECOS PAC ID: 5799970281 Enrollment ID: O20101215000083 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wan Soo Chang, MD 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 408-7220 | Mark Wan Soo Chang, MD 2428 Knob Creek Road, Johnson City, TN 37604 Ph: (423) 282-5054 |
Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268 | |
Dr. Sheeba Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283 | |
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674 | |
Dr. Tariq Ziad Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838 | |
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
Dr. Joe Rupe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940 | |
John M Daniel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353 |