| Ms Deneene Raphaelle Booth, MD | |
|
601 Campus Dr, Abingdon, VA 24210-9700 | |
| (276) 258-1670 | |
| Not Available |
| Full Name | Ms Deneene Raphaelle Booth |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 601 Campus Dr, Abingdon, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023279486 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Smyth County Community Hospital | Marion, VA | Hospital |
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deneene Raphaelle Booth, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6567 | Ms Deneene Raphaelle Booth, MD 601 Campus Dr, Abingdon, VA 24210-9700 Ph: (276) 258-1670 |
Kevin Armstrong, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 351 Court St, Abingdon, VA 24210 Phone: 276-676-7127 | |
Kathleen Joanne Wild, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-628-9794 Fax: 276-628-1260 | |
Dr. Mark William Simcox, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-1000 | |
Daniel Brian Dix, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-1000 | |
Thomas G Sutton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 613 Campus Dr, Suite 100, Abingdon, VA 24210 Phone: 276-258-1670 Fax: 276-258-1672 | |
Dr. Robert Dickenson Gilmer, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 470 Waldon Rd, Abingdon, VA 24210 Phone: 276-628-9794 |