East Tennessee State University is a
Audiologist based in Gray, Tennessee. East Tennessee State University is licensed to practice in * (Not Available) (license number ) and their current practice location is
350 Christian Church Rd, Gray, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(423) 439-4355.
NPI number for East Tennessee State University is 1720252554 and their current mailing address is Po Box 70403, Johnson City, Tennessee. East Tennessee State University
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1720252554.
Healthcare Provider's Profile
| Full Name | East Tennessee State University |
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| Type | Facility |
|---|
| Speciality | Audiologist |
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| Location | 350 Christian Church Rd, Gray, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720252554
- Provider Enumeration Date: 04/14/2008
- Last Update Date: 09/11/2008
Medical Identifiers
Medical identifiers for East Tennessee State University such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720252554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. East Tennessee State University is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Tennessee State University
Po Box 70403,
Johnson City, TN 37614-1703
Ph: (423) 439-4078 | East Tennessee State University
350 Christian Church Rd,
Gray, TN 37615-4500
Ph: (423) 439-4355 |
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