Dr Sidney W Collins Jr, MD | |
1 Medical Park Blvd, 250 West, Bristol, TN 37620 | |
(423) 844-6620 | |
(423) 844-6626 |
Full Name | Dr Sidney W Collins Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 22 Years |
Location | 1 Medical Park Blvd, 250 West, Bristol, 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 |
---|---|---|---|
1083624365 | NPI | - | NPPES |
40441 | Other | TN | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101255594 (Virginia) | Secondary |
208600000X | Surgery | 40441 (Tennessee) | Secondary |
208600000X | Surgery | E5311 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Vein Center Pllc | 2264727627 | 16 |
Bristol Surgical Associates Pc | 7416038377 | 8 |
Legacy Vein Center Pllc | 2264727627 | 16 |
Entity Name | Wps Providers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003904095 PECOS PAC ID: 7719079532 Enrollment ID: O20070824000581 |
Entity Name | Bristol Surgical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811066947 PECOS PAC ID: 7416038377 Enrollment ID: O20080116000673 |
Entity Name | Legacy Vein Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477972933 PECOS PAC ID: 2264727627 Enrollment ID: O20160824000796 |
Mailing Address | Practice Location Address |
---|---|
Dr Sidney W Collins Jr, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Sidney W Collins Jr, MD 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Ph: (423) 844-6620 |
Jake Sides, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 250w, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6626 | |
Robert H Blanton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627 | |
Ms. Elizabeth Dray, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Michael E Chupp, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 312 Mia Dr, Bristol, TN 37620 Phone: 423-366-6005 | |
Michael D Rowell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627 | |
Benjamin S Scharfstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 250w, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627 |