| Perry Jernigan, MD | |
|
1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 | |
| (423) 926-4966 | |
| (423) 926-1823 |
| Full Name | Perry Jernigan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 1301 Sunset Dr, 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 |
|---|---|---|---|
| 1164473005 | NPI | - | NPPES |
| 3828412 | Medicaid | TN | |
| 89063JH | Other | NC | NORTH CAROLINA MEDICAID |
| 300086799 | Other | TN | RAILROAD MEDICARE |
| 3098340 | Other | TN | BCBS |
| 100022659 | Other | TN | PHP TNCARE |
| 64305642 | Other | KY | KENTUCKY MEDICAID |
| 7222688 | Other | VI | VIRGINIA MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 30603 (Tennessee) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101259949 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Franklin Woods Community Hospital | Johnson city, TN | Hospital |
| Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Entity Name | Blue Ridge Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20031106000638 |
| 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 | Mountain Empire Radiology Inc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762759 PECOS PAC ID: 4688655392 Enrollment ID: O20040527001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Jernigan, MD 1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 Ph: (423) 926-4966 | Perry Jernigan, MD 1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 Ph: (423) 926-4966 |
Dr. Samuel Winston Huddleston V, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Suite 31, Johnson City, TN 37604 Phone: 423-431-2478 | |
Dr. Arthur Austin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 818 Sunset Dr Ste 100, Johnson City, TN 37604 Phone: 423-433-6644 Fax: 423-433-6641 | |
Dr. Vinay Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: James H Quillen Vamc, Mountain Home, Johnson City, TN 37684 Phone: 423-926-1171 | |
Glynda Ramsey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Jose E Picaza, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Dr. Vincent Gerard Becker, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 |