| Anthony M Kingsley, FNP | |
|
163 Perkins Ln, Jacksboro, TN 37757-2833 | |
| (423) 500-9140 | |
| (423) 435-0828 |
| Full Name | Anthony M Kingsley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 163 Perkins Ln, Jacksboro, 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 |
|---|---|---|---|
| 1003267865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 21300 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Tennessee | Tazewell, TN | Home health agency |
| Lafollette Medical Center | La follette, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smokey Mountain Medical Llc | 4880121359 | 2 |
| Entity Name | Summit Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
| Entity Name | Smokey Mountain Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902627169 PECOS PAC ID: 4880121359 Enrollment ID: O20241221000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony M Kingsley, FNP 163 Perkins Ln, Jacksboro, TN 37757-2833 Ph: (423) 500-9140 | Anthony M Kingsley, FNP 163 Perkins Ln, Jacksboro, TN 37757-2833 Ph: (423) 500-9140 |
Stacy Jean Riggs, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757 Phone: 423-562-4149 Fax: 423-566-6929 | |
April D Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757 Phone: 423-562-4149 | |
Katherine Gresham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 | |
Amy Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 Fax: 865-567-4722 | |
John Wesley Smiddy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 Fax: 423-567-4722 | |
Jennifer Riley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 |