| Tri-cities Gastroenterology Llc | |
|
10461 Wallace Alley St Kingsport TN 37663-3936 | |
| (423) 279-1400 | |
| Not Available |
| Full Name | Tri-cities Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10461 Wallace Alley St, Kingsport, Tennessee |
| Authorized Official Name and Position | Michelle Carmela Merritt (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4232791414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-cities Gastroenterology Llc 10461 Wallace Alley St Kingsport TN 37663-3936 Ph: (423) 279-1400 | Tri-cities Gastroenterology Llc 10461 Wallace Alley St Kingsport TN 37663-3936 Ph: (423) 279-1400 |
| NPI Number | 1083639918 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 1658354865 |
|---|---|
| Medicare Enrollment ID | O20040609001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083639918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey P Fenyves |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700887106 PECOS PAC ID: 5890767164 Enrollment ID: I20040807000103 |
| Provider Name | Stephen W Fry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750382982 PECOS PAC ID: 0941272215 Enrollment ID: I20040807000133 |
| Provider Name | Ashley Laine Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487870077 PECOS PAC ID: 4284702507 Enrollment ID: I20081014000034 |
| Provider Name | James Wesley Denham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902088644 PECOS PAC ID: 3870755804 Enrollment ID: I20120508000555 |
| Provider Name | Genesia D Irick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811431406 PECOS PAC ID: 5092099317 Enrollment ID: I20170306002668 |
| Provider Name | Riann J Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366034969 PECOS PAC ID: 0941616825 Enrollment ID: I20210302001031 |
| Provider Name | Amber Lynette Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558074328 PECOS PAC ID: 8123490406 Enrollment ID: I20230215000001 |
Wps Providers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Sullivan And Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Pavilion Dr Ste 108, Kingsport, TN 37660 Phone: 423-392-6100 Fax: 423-392-0803 | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034 | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693 | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489 | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100 |