| Thomas E Renfro, MD | |
|
515 Front St W, Coeburn, VA 24230-3607 | |
| (276) 395-2389 | |
| (276) 395-6634 |
| Full Name | Thomas E Renfro |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 515 Front St W, Coeburn, 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 |
|---|---|---|---|
| 1497726376 | NPI | - | NPPES |
| 1497726376 | Medicaid | VA | |
| 6466581300 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101039754 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell County Hospital | Lebanon, VA | Hospital |
| Lonesome Pine Hospital | Big stone gap, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Norton Community Physician Services Llc | 1557431665 | 27 |
| Entity Name | Norton Community Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861674160 PECOS PAC ID: 1557431665 Enrollment ID: O20080602000375 |
| 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 |
| Entity Name | Mountain States Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245781954 PECOS PAC ID: 6002726718 Enrollment ID: O20161216000941 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Renfro, MD 515 Front St W, Coeburn, VA 24230-3607 Ph: (276) 395-2389 | Thomas E Renfro, MD 515 Front St W, Coeburn, VA 24230-3607 Ph: (276) 395-2389 |
Dr. Gucharan S Kanwal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 116 Centre Ave Ne, Coeburn, VA 24230 Phone: 276-395-6244 Fax: 276-395-3058 | |
Joseph F Smiddy, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 208 Front St W, Coeburn, VA 24230 Phone: 276-455-5556 Fax: 276-455-5557 |