Dr Susan Lyasko Klugewicz, MD | |
1500 W Elk Ave, Elizabethton, TN 37643 | |
(423) 543-2584 | |
(423) 722-2060 |
Full Name | Dr Susan Lyasko Klugewicz |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 33 Years |
Location | 1500 W Elk Ave, Elizabethton, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992763981 | NPI | - | NPPES |
1514567 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME78055 (Florida) | Secondary |
208000000X | Pediatrics | MD45116 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Care Pllc | 1850448580 | 41 |
Entity Name | Medical Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851537260 PECOS PAC ID: 1850448580 Enrollment ID: O20090414000752 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Lyasko Klugewicz, MD 401 E Main St, Johnson City, TN 37601-4877 Ph: (423) 929-2584 | Dr Susan Lyasko Klugewicz, MD 1500 W Elk Ave, Elizabethton, TN 37643 Ph: (423) 543-2584 |
Sukhvir Singh, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1505 W Elk Ave Ste 1, Elizabethton, TN 37643 Phone: 423-543-7919 | |
Leah R Higginbotham, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1503 W Elk Ave Ste 12, Elizabethton, TN 37643 Phone: 423-547-9400 Fax: 423-547-9400 | |
Tammy L Kitchens, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1503 W Elk Ave, Suite 12, Elizabethton, TN 37643 Phone: 423-547-9400 Fax: 423-547-9401 | |
Rachel M Hecht, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2606 Beechwood Dr, Elizabethton, TN 37643 Phone: 423-542-9533 | |
Rebecca R Powers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 117 E F St, Elizabethton, TN 37643 Phone: 423-547-9355 Fax: 423-702-4419 | |
Mrs. Laurie E Trosin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1503 W Elk Ave Ste 12, Elizabethton, TN 37643 Phone: 423-547-9400 Fax: 423-547-9401 | |
Jessica B Tuberty, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1937 W Elk Ave, Elizabethton, TN 37643 Phone: 423-547-9400 Fax: 423-547-9401 |