| Stanley M Hodges, MD | |
|
301 Med Tech Pkwy, Johnson City, TN 37604-2630 | |
| (423) 794-5520 | |
| (423) 282-0720 |
| Full Name | Stanley M Hodges |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 301 Med Tech Pkwy, 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 |
|---|---|---|---|
| 1609851351 | NPI | - | NPPES |
| P00384556 | Other | TN | RAILROAD MEDICARE |
| TN01Y9 | Other | TN | JOHN DEERE |
| 1609851351 | Medicaid | VA | |
| 3861679 | Medicaid | TN | |
| Q002682 | Medicaid | TN | |
| 6406054400 | Medicaid | KY | |
| 3861671 | Medicaid | TN | |
| 4346248 | Other | TN | BCBSTN |
| TN01Y9 | Other | TN | BCBS OF TN |
| 4124140 | Other | TN | BCBS OF TENNESSEE |
| 4346327 | Other | TN | BCBSTN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35007 (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 |
| Entity Name | Medical Education Assistance Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795 |
| Entity Name | State of Franklin Healthcare Associates, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley M Hodges, MD Po Box 632476, Cincinnati, OH 45263-2476 Ph: (423) 794-5520 | Stanley M Hodges, MD 301 Med Tech Pkwy, Johnson City, TN 37604-2630 Ph: (423) 794-5520 |
Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268 |
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 302 Wesley St Ste 3, Johnson City, TN 37601 Phone: 423-202-3772 Fax: 423-202-3445 |
Dr. Tariq Z Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838 |
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 |
Jonathan P Moorman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-930-8337 |
Michael Z Pearson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy, Ste. 280, Johnson City, TN 37604 Phone: 423-794-5550 Fax: 423-794-1829 |
Mitchell Deshazer, Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Room 2746, Johnson City, TN 37604 Phone: 423-431-2727 Fax: 423-431-6715 |