| Patrick Rene Showalter, MD | |
|
2204 Pavilion Dr Ste 310, Kingsport, TN 37660-4653 | |
| (423) 246-4155 | |
| Not Available |
| Full Name | Patrick Rene Showalter |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 2204 Pavilion Dr Ste 310, Kingsport, 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 |
|---|---|---|---|
| 1558343830 | NPI | - | NPPES |
| 3873348 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD0000036172 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Las cruces, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Las Cruces Physician Practices, Llc | 7618974858 | 81 |
| Entity Name | Las Cruces Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Rene Showalter, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Patrick Rene Showalter, MD 2204 Pavilion Dr Ste 310, Kingsport, TN 37660-4653 Ph: (423) 246-4155 |
Dr. Anthony Lee Broglio, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
C Mack Patton, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Shenelle Wilson, Urology Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660 Phone: 423-246-4155 | |
Jim R Littlejohn, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Hugh M. Sullivan, Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Grant D Taylor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660 Phone: 423-246-4155 | |
Dr. Charles E Payne, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1932 Brookside Drive, Kingsport, TN 37660 Phone: 423-246-4155 Fax: 423-246-7169 |