Dr Jessica D Hommel, MD | |
320 Steeles Rd, Bristol, TN 37620-9532 | |
(423) 968-2599 | |
Not Available |
Full Name | Dr Jessica D Hommel |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 320 Steeles Rd, 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 |
---|---|---|---|
1821209578 | NPI | - | NPPES |
4304362 | Medicaid | TN | |
1821209578 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD0000047222 (Tennessee) | Primary |
Entity Name | Holston Medical Group Pc |
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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 Jessica D Hommel, MD 320 Steeles Rd, Bristol, TN 37620-9532 Ph: (423) 968-2599 | Dr Jessica D Hommel, MD 320 Steeles Rd, Bristol, TN 37620-9532 Ph: (423) 968-2599 |
Thomas E Mitoraj, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 212 Midway Medical Park, Bristol, TN 37620 Phone: 423-968-4007 | |
Dr. Joanne Blow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Forest Hills Dr, Bristol, TN 37620 Phone: 423-968-5018 Fax: 423-968-2934 | |
Dr. John Richard Hovious Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 109 Meadow View Road, Suite 7, Bristol, TN 37620 Phone: 423-652-1655 Fax: 423-652-7668 |