| Alexander Melkonian, PHD | |
|
208 Medical Park Blvd, Bristol, TN 37620-7343 | |
| (540) 272-9242 | |
| Not Available |
| Full Name | Alexander Melkonian |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 6 Years |
| Location | 208 Medical Park Blvd, Bristol, 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 |
|---|---|---|---|
| 1215608484 | NPI | - | NPPES |
| Q069365 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3841 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Education Assistance Corporation University Physicians Practic | 3870491269 | 153 |
| Entity Name | Medical Education Assistance Corporation University Physicians Practic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Melkonian, PHD 708 W Maple St, Johnson City, TN 37604-6508 Ph: (540) 272-9242 | Alexander Melkonian, PHD 208 Medical Park Blvd, Bristol, TN 37620-7343 Ph: (540) 272-9242 |
Evelyn C Kemp, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-989-4050 Fax: 423-990-3044 | |
Dr. Kristie J Nies, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3183 W State St Ste 1201, Bristol, TN 37620 Phone: 423-764-0987 | |
Timothy A Urbin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-989-4050 Fax: 423-990-3044 | |
Amanda Harville Mcgrady, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Walnut Circle, Bristol, TN 37620 Phone: 423-367-0040 | |
Mr. Bridges Wade Smith Iii, MS, LSPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1241 Volunteer Pkwy, Suite 436, Bristol, TN 37620 Phone: 423-990-2315 Fax: 423-990-2316 | |
Gary Austin Wishart, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Volunteer Parkway, Suite G, Bristol, TN 37620 Phone: 423-652-2212 Fax: 423-652-2212 |