Dr Dennis Samuel Jr, MD | |
350 Steeles Rd, Bristol, TN 37620-9532 | |
(423) 844-4925 | |
(423) 844-4933 |
Full Name | Dr Dennis Samuel Jr |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 350 Steeles Rd, 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 |
---|---|---|---|
1932102944 | NPI | - | NPPES |
3802922 | Medicaid | TN | |
01010057 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 0101050784 (Virginia) | Secondary |
207V00000X | Obstetrics & Gynecology | MD 27665 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holston Medical Group Pc | 8224935754 | 227 |
Holston Medical Group Pc | 8224935754 | 227 |
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: O20031216000416 |
Mailing Address | Practice Location Address |
---|---|
Dr Dennis Samuel Jr, MD Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066 | Dr Dennis Samuel Jr, MD 350 Steeles Rd, Bristol, TN 37620-9532 Ph: (423) 844-4925 |
Dr. Mary Kathleen Marquette, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 320 Bristol West Blvd Ste 2c, Bristol, TN 37620 Phone: 423-844-1399 | |
Dr. Samantha Jo Herriott, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 320 Bristol West Blvd, Ste 2c, Bristol, TN 37620 Phone: 423-844-1399 Fax: 423-877-1397 | |
David W. Marden, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 305e, Bristol, TN 37620 Phone: 423-844-5640 Fax: 423-844-5645 | |
Dr. Gary C Boyle, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2901 W State St, Bristol, TN 37620 Phone: 423-968-2182 Fax: 423-968-7589 | |
Dr. Jeffrey Mcqueary, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 240 Medical Park Blvd Ste 2700, Bristol, TN 37620 Phone: 423-990-2450 | |
Dr. Wesley F Adams Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2901 W State St, Bristol, TN 37620 Phone: 423-968-2182 Fax: 423-968-7589 | |
Alan L. Gorrell, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 249 Midway Medical Park, Suite 202, Bristol, TN 37620 Phone: 423-844-6220 |