| Associated Neurologists Of Kingsport | |
|
8 Sheridan Sq Ste 200 Kingsport TN 37660-7479 | |
| (423) 247-5553 | |
| (423) 247-9254 |
| Full Name | Associated Neurologists Of Kingsport |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8 Sheridan Sq Ste 200, Kingsport, Tennessee |
| Authorized Official Name and Position | Sandy Jenkins (OFFICE MANAGER) |
| Authorized Official Contact | 4232475553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Neurologists Of Kingsport 8 Sheridan Sq Ste 200 Kingsport TN 37660-7479 Ph: (423) 247-5553 | Associated Neurologists Of Kingsport 8 Sheridan Sq Ste 200 Kingsport TN 37660-7479 Ph: (423) 247-5553 |
| NPI Number | 1083715338 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 4880669308 |
|---|---|
| Medicare Enrollment ID | O20040830000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083715338 | NPI | - | NPPES |
| 3701692 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Tennessee) | Primary |
| Provider Name | Michael S Dew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093701427 PECOS PAC ID: 9436193943 Enrollment ID: I20070417000280 |
| Provider Name | Otakar Krcal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396868022 PECOS PAC ID: 3971695958 Enrollment ID: I20070822000800 |
| Provider Name | Tracie Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295064798 PECOS PAC ID: 0547303802 Enrollment ID: I20100209000166 |
| Provider Name | Cara A Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700320587 PECOS PAC ID: 0345524641 Enrollment ID: I20170306001851 |
Patient Resource Management Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Woodberry Cir, Kingsport, TN 37663 Phone: 423-239-9430 Fax: 423-239-9430 | |
Mountain States Health Alliance Out-patient Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2012 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-5566 Fax: 423-857-5564 | |
Appalachian Pediatric Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5400 Fort Henry Dr Ste 12, Kingsport, TN 37663 Phone: 423-426-3304 | |
Dba Blue Ridge Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5720 Fax: 423-857-5720 | |
Common Thread Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 American Way Ste 109, Kingsport, TN 37660 Phone: 423-612-8469 Fax: 833-540-3751 | |
Tri-star Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 208 Ferrell Ave, Kingsport, TN 37663 Phone: 423-426-6901 |