Dr Brian Samuel Smith, MD | |
415 Broad St, Suite 410, Kingsport, TN 37660-4263 | |
(423) 439-2737 | |
Not Available |
Full Name | Dr Brian Samuel Smith |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 415 Broad St, Kingsport, 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 |
---|---|---|---|
1629298757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 48138 (Tennessee) | Secondary |
207P00000X | Emergency Medicine | 0101256622 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 127 |
Entity Name | Northeast Tennessee Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467427138 PECOS PAC ID: 7517911712 Enrollment ID: O20050310000431 |
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 |
Entity Name | Tri-cities Regional Emergency Physicians, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Samuel Smith, MD 415 Broad St, Suite 410, Kingsport, TN 37660-4263 Ph: (423) 239-9737 | Dr Brian Samuel Smith, MD 415 Broad St, Suite 410, Kingsport, TN 37660-4263 Ph: (423) 439-2737 |
Dr. James Henry Burleson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Brookside Dr, Indian Path Hospital, Kingsport, TN 37660 Phone: 423-857-7870 Fax: 423-857-7872 | |
William D Hudson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000 | |
Mrs. Susan Watts Jeansonne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934 | |
Dr. Jeffrey Stayer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-239-9737 | |
Dr. Renee May Sayson Miranda, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634 | |
William E Devens Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000 | |
Dr. Tunga Trishul Reddy, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 Broad St, Suite 410, Kingsport, TN 37660 Phone: 423-747-1240 |