Christopher M Basham, MD | |
323 Cloverleaf Sq, #1, Big Stone Gap, VA 24219-2760 | |
(276) 523-6715 | |
(276) 523-6719 |
Full Name | Christopher M Basham |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 323 Cloverleaf Sq, Big Stone Gap, Virginia |
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 |
---|---|---|---|
1831160530 | NPI | - | NPPES |
64047533 | Medicaid | KY | |
005601487 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101230202 (Virginia) | Primary |
208M00000X | Hospitalist | 0101230202 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Intrepid Usa Healthcare Services | Abingdon, VA | Home health agency |
Advanced Home Health | Wise, VA | Home health agency |
First Choice Home Health Care | Norton, VA | Home health agency |
Lonesome Pine Hospital | Big stone gap, VA | Hospital |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holston Medical Group Pc | 8224935754 | 227 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Entity Name | Holston Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20040107000794 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
Mailing Address | Practice Location Address |
---|---|
Christopher M Basham, MD 999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632 Ph: (423) 224-3250 | Christopher M Basham, MD 323 Cloverleaf Sq, #1, Big Stone Gap, VA 24219-2760 Ph: (276) 523-6715 |
Bickley Craven, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 3rd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-0599 Fax: 276-523-6480 | |
Joshua Heath Dalton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 Phone: 276-523-5080 Fax: 276-523-5083 | |
Eric Francis Hofmeister, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-679-1383 Fax: 276-679-1851 | |
Dr. John Edward Strange, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 3rd Ave E, Big Stone Gap, VA 24219 Phone: 276-524-1906 Fax: 276-524-1908 | |
Ashley Broadway Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 | |
Donald Arthur Olson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Holten Ave E, Big Stone Gap, VA 24273 Phone: 276-393-2963 Fax: 276-679-6095 | |
Rene L Brown, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 |