| Timothy C Kuntz, PA | |
|
307 S Broadway St, Portland, TN 37148-1413 | |
| (615) 323-9158 | |
| Not Available |
| Full Name | Timothy C Kuntz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 307 S Broadway St, Portland, 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 |
|---|---|---|---|
| 1790814630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2126 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 1484 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nhc Homecare Springfield | Springfield, TN | Home health agency |
| Highpoint Health-sumner With Ascension Saint Thoma | Gallatin, TN | Hospital |
| Tristar Hendersonville Medical Center | Hendersonville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portland Medical | 0840677316 | 5 |
| Entity Name | Portland Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679230510 PECOS PAC ID: 0840677316 Enrollment ID: O20220523001412 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy C Kuntz, PA 307 S Broadway St, Portland, TN 37148-1413 Ph: (615) 323-9158 | Timothy C Kuntz, PA 307 S Broadway St, Portland, TN 37148-1413 Ph: (615) 323-9158 |
Dr. Michael Dean Littell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway, Portland, TN 37148 Phone: 615-325-3100 Fax: 615-325-0076 |
Dr. John A Taylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway, Portland, TN 37148 Phone: 615-325-6755 Fax: 615-325-6936 |
Mrs. Ronda M Worsham, RNMSNCS FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Redbud Dr Ste E, Portland, TN 37148 Phone: 615-325-1206 Fax: 615-325-1245 |
Pepito Salcedo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 Redbud Dr, Suite E, Portland, TN 37148 Phone: 615-325-1206 Fax: 615-325-1245 |
Dr. Ralph H. Ruckle, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 103 Redbud Dr, Suite C, Portland, TN 37148 Phone: 615-325-7337 Fax: 615-325-0164 |
Dr. Nicole Beall Jaques, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Redbud Dr, Emergency Department, Portland, TN 37148 Phone: 615-745-8150 |
Stacey Drott Vance, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Main St, Portland, TN 37148 Phone: 615-323-8873 Fax: 615-323-8874 |