Dr Roger W Archer, DO | |
101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | |
(423) 224-3350 | |
(423) 239-8581 |
Full Name | Dr Roger W Archer |
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Gender | Male |
Speciality | Family Medicine |
Location | 101 Professional Park Pvt Dr, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508877846 | NPI | - | NPPES |
5612721 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1071 (Tennessee) | Primary |
Entity Name | Mountain Region Family Medicine P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467565804 PECOS PAC ID: 5890699961 Enrollment ID: O20031120000676 |
Mailing Address | Practice Location Address |
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Dr Roger W Archer, DO Po Box 3889, Johnson City, TN 37602-3889 Ph: (423) 230-2100 | Dr Roger W Archer, DO 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 Ph: (423) 224-3350 |
Mary Axelrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663 Phone: 423-239-5141 Fax: 423-239-4869 | |
Douglas J. Rose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634 | |
Dr. Chad Bates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660 Phone: 423-857-2260 | |
Dr. Edward Monty Stirman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-323-6200 Fax: 423-323-6593 | |
Dr. Anthony Tin-lung Ng, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
Jerry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-392-6200 | |
Ms. Lesley Ann Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660 Phone: 423-247-0462 Fax: 423-247-0465 |