David Gwaltney, MD | |
1 Medical Park Blvd, 250 West, Bristol, TN 37620-7430 | |
(423) 844-3919 | |
(423) 975-0141 |
Full Name | David Gwaltney |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 46 Years |
Location | 1 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 |
---|---|---|---|
1538264064 | NPI | - | NPPES |
027541 | Other | TN | INDV ANTHEM/GROUP #093410 |
F03906748 | Other | TN | CHAMPUS GROUP |
7300140000 | Medicaid | WV | |
0636398 | Other | TN | UMWA GROUP |
2001924 | Other | TN | BCBS OF TENNESSEE |
4546155 | Other | TN | AETNA |
TN0102 | Other | TN | JOHN DEERE NOW UNITED HC |
7304692 | Medicaid | VA | |
022276800 | Other | TN | BLACK LUNG GROUP |
3008207 | Medicaid | TN | |
770000847 | Other | TN | MCRAILROAD/GROUP#CA8128 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 15402 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bristol Surgical Associates Pc | 7416038377 | 8 |
Wps Providers Inc | 7719079532 | 67 |
Entity Name | Wps Providers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003904095 PECOS PAC ID: 7719079532 Enrollment ID: O20070824000581 |
Entity Name | Bristol Surgical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811066947 PECOS PAC ID: 7416038377 Enrollment ID: O20080116000673 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
David Gwaltney, MD Po Box 3889, Johnson City, TN 37602-3889 Ph: (423) 844-3919 | David Gwaltney, MD 1 Medical Park Blvd, 250 West, Bristol, TN 37620-7430 Ph: (423) 844-3919 |
Jake Sides, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 250w, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6626 | |
Dr. Sidney W Collins Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6626 | |
Robert H Blanton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627 | |
Ms. Elizabeth Dray, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Michael E Chupp, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 312 Mia Dr, Bristol, TN 37620 Phone: 423-366-6005 | |
Michael D Rowell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627 | |
Benjamin S Scharfstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 250w, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627 |