Dr Chad T Couch, MD | |
350 Blountville Hwy, Suite 105, Bristol, TN 37620-0213 | |
(423) 844-6600 | |
(423) 968-1255 |
Full Name | Dr Chad T Couch |
---|---|
Gender | Male |
Speciality | Urology |
Location | 350 Blountville Hwy, Bristol, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861446676 | NPI | - | NPPES |
3150974 | Other | TN | BLUECROSS BLUESHIELD |
381841 | Other | VA | ANTHEM |
0213340004 | Other | DMERC | |
340017986 | Other | RR MEDICARE | |
3854657 | Medicaid | TN | |
007503849 | Medicaid | VA | |
62086999805 | Other | JOHN DEERE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 034328 (Tennessee) | Secondary |
208800000X | Urology | 34328 (Tennessee) | Primary |
Entity Name | Johnson City Urological Clinic, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578689253 PECOS PAC ID: 5799720082 Enrollment ID: O20050627001275 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad T Couch, MD 350 Blountville Hwy, Suite 105, Bristol, TN 37620-0213 Ph: (423) 844-6600 | Dr Chad T Couch, MD 350 Blountville Hwy, Suite 105, Bristol, TN 37620-0213 Ph: (423) 844-6600 |
Dr. John W Coursey, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Parrish F Moree, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Dr. Aubrey Jackson Evans, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
John Maxwell White Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Dr. Trisha Juliano Kammann, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1211 | |
Dr. John G. Griffith, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 28 Midway St, Suite 105, Bristol, TN 37620 Phone: 423-573-8100 Fax: 423-573-8102 | |
Dr. Daniel John Mecca Jr., MD Urology Medicare: Medicare Enrolled Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 |