| Vicky Lynn Gaddis, PA | |
|
2202 N John B Dennis Hwy Ste 204, Kingsport, TN 37660-5904 | |
| (423) 245-1040 | |
| (423) 245-1869 |
| Full Name | Vicky Lynn Gaddis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2202 N John B Dennis Hwy Ste 204, Kingsport, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770244618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110008811 (Virginia) | Primary |
| 363A00000X | Physician Assistant | 7170 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentara Medical Group | 8921903923 | 1396 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicky Lynn Gaddis, PA 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Vicky Lynn Gaddis, PA 2202 N John B Dennis Hwy Ste 204, Kingsport, TN 37660-5904 Ph: (423) 245-1040 |
Mr. Harold Christopher Little, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3 Sheridan Square, Kingsport, TN 37660 Phone: 423-392-6840 Fax: 423-392-6845 | |
Sarah Katherine Falconer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660 Phone: 423-857-6466 | |
Laura Wagner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 1f, Kingsport, TN 37660 Phone: 423-230-2420 | |
Mr. Steven J Mclaughlin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St Ste 103, Kingsport, TN 37660 Phone: 423-578-1518 | |
Hunter Alan Shipley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 4b, Kingsport, TN 37660 Phone: 423-578-1570 | |
Camille Gilley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Sheridan Sq Ste 100, Kingsport, TN 37660 Phone: 423-328-0163 | |
Stephen Lee Elsey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 W Ravine Rd, Kingsport, TN 37660 Phone: 423-245-3161 |