Dr Theron Blickenstaff, MD is a
Preventive Medicine - Occupational Medicine physician based in Kingsport, Tennessee. Dr Theron Blickenstaff is licensed to practice in Tennessee (license number 14559) and his current practice location is 709 Clandon Dr, Kingsport, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 378-3267.
NPI number for Dr Theron Blickenstaff is 1467640375 and his current mailing address is 709 Clandon Dr, Kingsport, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467640375.
Physician's Profile
| Full Name | Dr Theron Blickenstaff |
|---|
| Gender | Male |
|---|
| Speciality | Preventive Medicine - Occupational Medicine |
|---|
| Location | 709 Clandon Dr, Kingsport, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467640375
- Provider Enumeration Date: 10/05/2007
- Last Update Date: 10/05/2007
Medical Identifiers
Medical identifiers for Dr Theron Blickenstaff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467640375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 14559 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theron Blickenstaff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Theron Blickenstaff, MD
709 Clandon Dr,
Kingsport, TN 37660-5036
Ph: (423) 378-3267 | Dr Theron Blickenstaff, MD
709 Clandon Dr,
Kingsport, TN 37660-5036
Ph: (423) 378-3267 |
Reviews and Comments