Jim R Littlejohn, MD | |
822 Broad St, Kingsport, TN 37660-3718 | |
(423) 246-6251 | |
(423) 246-7230 |
Full Name | Jim R Littlejohn |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 34 Years |
Location | 822 Broad St, Kingsport, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225036841 | NPI | - | NPPES |
3371556 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 29347 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indian Path Community Hospital | Kingsport, TN | Hospital |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Lonesome Pine Hospital | Big stone gap, VA | Hospital |
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Hawkins County Memorial Hospital | Rogersville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology Associates Of Kingsport, P. C. | 7113949801 | 2 |
Entity Name | Urology Associates Of Kingsport, P. C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184644932 PECOS PAC ID: 7113949801 Enrollment ID: O20051221001032 |
Mailing Address | Practice Location Address |
---|---|
Jim R Littlejohn, MD 822 Broad St, Kingsport, TN 37660-3718 Ph: (423) 246-6251 | Jim R Littlejohn, MD 822 Broad St, Kingsport, TN 37660-3718 Ph: (423) 246-6251 |
Dr. Anthony Lee Broglio, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
C Mack Patton, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Shenelle Wilson, Urology Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660 Phone: 423-246-4155 | |
Hugh M. Sullivan, Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Grant D Taylor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660 Phone: 423-246-4155 | |
Dr. Charles E Payne, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1932 Brookside Drive, Kingsport, TN 37660 Phone: 423-246-4155 Fax: 423-246-7169 |