Dr Kurt A Ick, MD | |
1932 Brookside Dr, Kingsport, TN 37660 | |
(423) 246-4155 | |
(423) 246-7169 |
Full Name | Dr Kurt A Ick |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 33 Years |
Location | 1932 Brookside Dr, 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 |
---|---|---|---|
1760439152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD28950 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aultman Hospital | Canton, OH | Hospital |
Indian Path Community Hospital | Kingsport, TN | Hospital |
Lonesome Pine Hospital | Big stone gap, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Specialty Physicians Corporation | 3476643479 | 56 |
Entity Name | Ohio Specialty Physicians Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285745364 PECOS PAC ID: 3476643479 Enrollment ID: O20071213000834 |
Mailing Address | Practice Location Address |
---|---|
Dr Kurt A Ick, MD 1932 Brookside Dr, Kingsport, TN 37660 Ph: (423) 246-4155 | Dr Kurt A Ick, MD 1932 Brookside Dr, Kingsport, TN 37660 Ph: (423) 246-4155 |
Dr. Anthony Lee Broglio, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
C Mack Patton, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Shenelle Wilson, Urology Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660 Phone: 423-246-4155 | |
Jim R Littlejohn, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Hugh M. Sullivan, Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Grant D Taylor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660 Phone: 423-246-4155 | |
Dr. Charles E Payne, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1932 Brookside Drive, Kingsport, TN 37660 Phone: 423-246-4155 Fax: 423-246-7169 |