| Shaine Powers, DO | |
|
323 Cloverleaf Sq # 1, Big Stone Gap, VA 24219-2760 | |
| (276) 523-6715 | |
| (276) 523-6719 |
| Full Name | Shaine Powers |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 323 Cloverleaf Sq # 1, Big Stone Gap, Virginia |
| 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 |
|---|---|---|---|
| 1841828993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102208658 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lonesome Pine Hospital | Big stone gap, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Medical Associates Inc | 8123291739 | 423 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaine Powers, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Shaine Powers, DO 323 Cloverleaf Sq # 1, Big Stone Gap, VA 24219-2760 Ph: (276) 523-6715 |
Bickley Craven, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 3rd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-0599 Fax: 276-523-6480 | |
Joshua Heath Dalton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 Phone: 276-523-5080 Fax: 276-523-5083 | |
Eric Francis Hofmeister, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-679-1383 Fax: 276-679-1851 | |
Dr. John Edward Strange, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 3rd Ave E, Big Stone Gap, VA 24219 Phone: 276-524-1906 Fax: 276-524-1908 | |
Ashley Broadway Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 | |
Donald Arthur Olson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Holten Ave E, Big Stone Gap, VA 24273 Phone: 276-393-2963 Fax: 276-679-6095 | |
Rene L Brown, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 |