Dr Pitchar Theerathorn, MD | |
301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | |
(423) 794-5520 | |
(423) 282-6940 |
Full Name | Dr Pitchar Theerathorn |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 301 Med Tech Pkwy Ste 240, Johnson City, 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 |
---|---|---|---|
1548223084 | NPI | - | NPPES |
3877775 | Medicaid | TN | |
279422500 | Medicaid | FL | |
562173631 | Other | SC | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 26545 (South Carolina) | Secondary |
208M00000X | Hospitalist | 35127 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 35127 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ballad Health Homecare | Johnson city, TN | Home health agency |
Wellmont Hospice | Bristol, TN | Hospice |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Indian Path Community Hospital | Kingsport, TN | Hospital |
Johnson City Medical Center | Johnson city, TN | Hospital |
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of Franklin Healthcare Associates, Pllc | 2466346291 | 247 |
Entity Name | State Of Franklin Healthcare Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
---|---|
Dr Pitchar Theerathorn, MD Po Box 3889, Johnson City, TN 37602-3889 Ph: (423) 794-2457 | Dr Pitchar Theerathorn, MD 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 Ph: (423) 794-5520 |
Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268 | |
Dr. Sheeba Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283 | |
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674 | |
Robert Taylor Means Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604 Phone: 423-439-7280 Fax: 423-439-7314 | |
Dr. Tariq Ziad Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838 | |
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
John M Daniel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353 |