Dr Ryan Andrew Hackett, MD | |
1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | |
(423) 543-1261 | |
(423) 543-7500 |
Full Name | Dr Ryan Andrew Hackett |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 1505 W Elk Ave, Elizabethton, 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 |
---|---|---|---|
1710140249 | NPI | - | NPPES |
Q012882 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 52415 (Tennessee) | Primary |
207Q00000X | Family Medicine | 25511 (Nebraska) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Care | Elizabethton, TN | Home health agency |
Kindred At Home | Kingsport, TN | Home health agency |
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Johnson City Medical Center | Johnson city, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Medical Management Corporation | 9739099441 | 280 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Andrew Hackett, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Ryan Andrew Hackett, MD 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 Ph: (423) 543-1261 |
Dr. Donald Frederick Thompson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 314 Rogosin Dr, Elizabethton, TN 37643 Phone: 423-433-6630 Fax: 423-232-8574 | |
Dr. Andrew Stephen May, M.D., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 1200 Spruce Ln, Elizabethton, TN 37643 Phone: 423-543-3202 Fax: 423-543-6249 | |
Dr. Kenneth M Hopland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-543-2584 Fax: 423-722-2060 | |
Michael Sean Luedeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 W Elk Ave Ste 2, Elizabethton, TN 37643 Phone: 423-543-1261 | |
Dr. Aly A. Bassal, M.D., F.I.C.S. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W G St, Suite 104, Elizabethton, TN 37643 Phone: 423-543-4616 Fax: 423-543-7771 | |
Dr. James Lee Davenport, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 Pine Hill Rd, Elizabethton, TN 37643 Phone: 423-542-4189 Fax: 423-542-4181 | |
Mrs. Megan D Johnson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643 Phone: 423-542-7420 Fax: 423-542-7425 |