| Melissa A Witzigman, PA | |
|
400 N State Of Franklin Rd, Johnson City, TN 37604-6035 | |
| (423) 302-1200 | |
| (423) 302-1220 |
| Full Name | Melissa A Witzigman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 400 N State Of Franklin Rd, Johnson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467438465 | NPI | - | NPPES |
| 1520451 | Medicaid | TN | |
| 005 | Other | WI | BCBS |
| 42952100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 772-023 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 1846 (Tennessee) | Primary |
| Entity Name | Emergency Medical Associates LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861483190 PECOS PAC ID: 0648242065 Enrollment ID: O20040806000968 |
| Entity Name | Lake Country Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720060585 PECOS PAC ID: 4385607555 Enrollment ID: O20041109000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A Witzigman, PA 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 302-1200 | Melissa A Witzigman, PA 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 302-1200 |
Kevin Ray Hudson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 N State Of Franklin Rd Ste 140, Johnson City, TN 37604 Phone: 423-431-2460 Fax: 423-431-2465 |
Mikayla L. Bogulski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2410 Susannah St, Johnson City, TN 37601 Phone: 423-282-9011 Fax: 423-282-0035 |
Chris F Strawn, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd Ste 12, Johnson City, TN 37604 Phone: 423-431-4946 |
Samuel William Cook Iii, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2410 Susannah Street, Johnson City, TN 37601 Phone: 423-282-9011 Fax: 423-282-0035 |
Natalie Bateson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 N State Of Franklin Rd Ste 303, Johnson City, TN 37604 Phone: 423-926-8181 Fax: 423-926-4421 |
Mckenzie Pearl Gregg, PA-C, MMS, MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111 |
Miranda Elizabeth Ledford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Professional Park Dr Ste 31, Johnson City, TN 37604 Phone: 423-434-3570 |