| Sheryl D Pack, MD | |
|
1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 | |
| (423) 542-7420 | |
| (423) 542-7425 |
| Full Name | Sheryl D Pack |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1497 W Elk Ave, Elizabethton, Tennessee |
| 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 |
|---|---|---|---|
| 1598715419 | NPI | - | NPPES |
| 1598715419 | Medicaid | VA | |
| 4122812 | Other | TN | BCBST |
| 3865567 | Medicaid | TN | |
| 3864465 | Medicaid | TN | |
| 3865561 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33787 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
| Johnson City Medical Center | Johnson city, 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: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryl D Pack, MD 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 Ph: (423) 542-7420 | Sheryl D Pack, MD 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 Ph: (423) 542-7420 |
Dr. Donald Frederick Thompson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 314 Rogosin Dr, Elizabethton, TN 37643 Phone: 423-433-6630 Fax: 423-232-8574 | |
Dr. Andrew Stephen May, M.D., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 1200 Spruce Ln, Elizabethton, TN 37643 Phone: 423-543-3202 Fax: 423-543-6249 | |
Mrs. Amanda R Lingerfelt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Rogosin Dr Ste 4, Elizabethton, TN 37643 Phone: 423-735-9013 | |
Dr. Kenneth M Hopland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-543-2584 Fax: 423-722-2060 | |
Michael Sean Luedeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 W Elk Ave Ste 2, Elizabethton, TN 37643 Phone: 423-543-1261 | |
Dr. Aly A. Bassal, M.D., F.I.C.S. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 W G St, Suite 104, Elizabethton, TN 37643 Phone: 423-543-4616 Fax: 423-543-7771 | |
Dr. James Lee Davenport, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 Pine Hill Rd, Elizabethton, TN 37643 Phone: 423-542-4189 Fax: 423-542-4181 |