| Neil W Kooy, MD | |
|
408 N State Of Franklin Rd, Suite 31d, Johnson City, TN 37604-6089 | |
| (423) 431-4946 | |
| (423) 431-4947 |
| Full Name | Neil W Kooy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 408 N State Of Franklin Rd, Johnson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689626343 | NPI | - | NPPES |
| 1689626343 | Medicaid | VA | |
| Q015096 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 20713 (Tennessee) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Neil W Kooy, MD 408 N State Of Franklin Rd, Suite 31d, Johnson City, TN 37604-6089 Ph: (423) 431-4946 | Neil W Kooy, MD 408 N State Of Franklin Rd, Suite 31d, Johnson City, TN 37604-6089 Ph: (423) 431-4946 |
John William Schweitzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 | |
Mrs. Priya Narayanan Jain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Jodi B Gage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Dr. Demetrio Rebano Macariola Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Karen E Schetzina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
William Scott Dodd, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Ahmad A Wattad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 |