Jennifer Carlita Peters-diamond, MD | |
111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | |
(423) 723-2030 | |
(423) 247-4110 |
Full Name | Jennifer Carlita Peters-diamond |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 111 W Stone Dr, 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 |
---|---|---|---|
1578640561 | NPI | - | NPPES |
007604092 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101240169 (Virginia) | Secondary |
207Q00000X | Family Medicine | 48169 (Tennessee) | Primary |
Entity Name | Medexpress Urgent Care, Pc - Virginia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215219878 PECOS PAC ID: 3173797586 Enrollment ID: O20111123000505 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Carlita Peters-diamond, MD 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 408-7220 | Jennifer Carlita Peters-diamond, MD 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 Ph: (423) 723-2030 |
Mary Axelrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663 Phone: 423-239-5141 Fax: 423-239-4869 | |
Douglas J. Rose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634 | |
Dr. Chad Bates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660 Phone: 423-857-2260 | |
Dr. Edward Monty Stirman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-323-6200 Fax: 423-323-6593 | |
Dr. Anthony Tin-lung Ng, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
Jerry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-392-6200 | |
Ms. Lesley Ann Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660 Phone: 423-247-0462 Fax: 423-247-0465 |