Dr Preston Visser, PHD is a
Psychologist - Clinical based in Mountain City, Tennessee. Dr Preston Visser is licensed to practice in Tennessee (license number 3242) and his current practice location is
318 Donnelly St, Mountain City, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 727-2100.
NPI number for Dr Preston Visser is 1710110747 and his current mailing address is 1167 Spratlin Park Dr, Pob 9054, Gray, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710110747.
Healthcare Provider's Profile
| Full Name | Dr Preston Visser |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 318 Donnelly St, Mountain City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710110747
- Provider Enumeration Date: 08/25/2009
- Last Update Date: 10/28/2014
Medical Identifiers
Medical identifiers for Dr Preston Visser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710110747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.008690 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3242 (Tennessee) | 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. Dr Preston Visser 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 |
|---|
Dr Preston Visser, PHD
1167 Spratlin Park Dr, Pob 9054,
Gray, TN 37615-6205
Ph: (423) 467-3600 | Dr Preston Visser, PHD
318 Donnelly St,
Mountain City, TN 37683-1510
Ph: (423) 727-2100 |
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