| Tommy Dale Livesay, MD | |
|
200 Nettleton Rd Ste 1, Harrogate, TN 37752-8225 | |
| (423) 419-5550 | |
| (234) 195-5514 |
| Full Name | Tommy Dale Livesay |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 18 Years |
| Location | 200 Nettleton Rd Ste 1, Harrogate, 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 |
|---|---|---|---|
| 1154581437 | NPI | - | NPPES |
| 1525167 | Medicaid | TN | |
| 7100185130 | Medicaid | KY | |
| 1932488327 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101250073 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 44663 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 47578 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Claiborne Medical Center | Tazewell, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Livesay Family Medicine, Pc | 3678744430 | 3 |
| Entity Name | Summit View Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952557381 PECOS PAC ID: 7113971599 Enrollment ID: O20050309000999 |
| Entity Name | Livesay Family Medicine, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932488327 PECOS PAC ID: 3678744430 Enrollment ID: O20110927000746 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Entity Name | Velocity Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013352269 PECOS PAC ID: 1951541689 Enrollment ID: O20130701000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Tommy Dale Livesay, MD 200 Nettleton Rd Ste 1, Harrogate, TN 37752-8225 Ph: (423) 419-5550 | Tommy Dale Livesay, MD 200 Nettleton Rd Ste 1, Harrogate, TN 37752-8225 Ph: (423) 419-5550 |
Stephen J Miller, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 165 Westmoreland St, Harrogate, TN 37752 Phone: 423-869-7193 Fax: 423-869-7195 | |
Frank Joseph Venuti, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 165 Westmoreland St, Harrogate, TN 37752 Phone: 423-869-7193 Fax: 423-869-7195 | |
Anne Marie Zeller, Family Medicine Medicare: Medicare Enrolled Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-6710 | |
Jared Wilson Madden, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 165 Westmoreland St, Harrogate, TN 37752 Phone: 423-869-7193 Fax: 423-869-7195 | |
Dr. Lorelei Moore, DNP, FNP-BC, RN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 169 Stratford Rd, Harrogate, TN 37752 Phone: 423-851-1650 | |
Christopher J Loyke, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-6609 |