| Mr Larry Michael Stevens Ii, APN | |
|
408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | |
| (423) 431-1810 | |
| (423) 431-1811 |
| Full Name | Mr Larry Michael Stevens Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 34 Years |
| Location | 408 N State Of Franklin Rd, Johnson City, 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 |
|---|---|---|---|
| 1053567826 | NPI | - | NPPES |
| 1053567826 | Medicaid | VA | |
| 1053567826 | Medicaid | NC | |
| 7100117150 | Medicaid | KY | |
| 1507311 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 13439 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-cities Observation Services, Pc | 3274819719 | 16 |
| Holston Medical Group Pc | 8224935754 | 236 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Holston Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416 |
| Entity Name | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Tri-cities Observation Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Michael Stevens Ii, APN 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 Ph: (423) 431-1810 | Mr Larry Michael Stevens Ii, APN 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 Ph: (423) 431-1810 |
Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Med Tech Pkwy Ste 100, Johnson City, TN 37604 Phone: 423-282-5611 Fax: 423-282-5712 | |
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227 | |
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199 | |
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720 | |
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557 |