Gregory C Marcum, MD | |
130 W Ravine Rd, Kingsport, TN 37660-3810 | |
(423) 224-4000 | |
Not Available |
Full Name | Gregory C Marcum |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 130 W Ravine Rd, 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 |
---|---|---|---|
1992749600 | NPI | - | NPPES |
3034295 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 19016 (Tennessee) | Primary |
Entity Name | Northeast Tennessee Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467427138 PECOS PAC ID: 7517911712 Enrollment ID: O20050310000431 |
Entity Name | Tri-cities Regional Emergency Physicians, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
Mailing Address | Practice Location Address |
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Gregory C Marcum, MD 551 Main St, Third Floor, Johnstown, PA 15901-2032 Ph: (814) 539-5724 | Gregory C Marcum, MD 130 W Ravine Rd, Kingsport, TN 37660-3810 Ph: (423) 224-4000 |
Dr. James Henry Burleson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Brookside Dr, Indian Path Hospital, Kingsport, TN 37660 Phone: 423-857-7870 Fax: 423-857-7872 | |
William D Hudson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000 | |
Mrs. Susan Watts Jeansonne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934 | |
Dr. Jeffrey Stayer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-239-9737 | |
Dr. Renee May Sayson Miranda, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634 | |
William E Devens Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000 | |
Dr. Tunga Trishul Reddy, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 Broad St, Suite 410, Kingsport, TN 37660 Phone: 423-747-1240 |