Jacquelyn Burt, | |
24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | |
(276) 619-0075 | |
(276) 619-0077 |
Full Name | Jacquelyn Burt |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 24530 Falcon Place Blvd, Abingdon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003238940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27664 (Tennessee) | Primary |
207Q00000X | Family Medicine | 0101257167 (Virginia) | Secondary |
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Burt, 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 400-8722 | Jacquelyn Burt, 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 Ph: (276) 619-0075 |
Lura S Miller, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 613 Campus Dr, Suite 200, Abingdon, VA 24210 Phone: 276-628-1186 Fax: 276-628-8507 | |
Kaley Kuntz, Family Medicine Medicare: Medicare Enrolled Practice Location: 613 Campus Dr Ste 200, Abingdon, VA 24210 Phone: 276-628-1186 Fax: 276-628-8507 | |
Nermene George Wilson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Primary Care Center, 613 Campus Drive Suite #200, Abingdon, VA 24210 Phone: 714-326-6001 | |
Dr. Kellie Miranda Smith Blackwell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Cook St, Abingdon, VA 24210 Phone: 276-619-5052 Fax: 276-619-5115 | |
William M Handy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 389 Falls Nwdr, Abingdon, VA 24210 Phone: 276-623-0740 Fax: 276-623-0660 | |
Lauren Ashley Mcgee, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-4435 |