John W Boyle, MD | |
2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 | |
(423) 392-6370 | |
(423) 392-6736 |
Full Name | John W Boyle |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2002 Brookside 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 |
---|---|---|---|
1831153774 | NPI | - | NPPES |
3013840 | Other | TN | BCBS |
1831153774 | Medicaid | VA | |
3028612 | Medicaid | TN | |
P00677072 | Other | TN | RR MEDICARE |
TN01L5 | Other | TN | JOHN DEERE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD18180 (Tennessee) | Primary |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
---|---|
John W Boyle, MD 2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 Ph: (423) 392-6370 | John W Boyle, MD 2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 Ph: (423) 392-6370 |
Dr. Scott Fowler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 2b, Kingsport, TN 37660 Phone: 423-247-7500 Fax: 423-245-4679 | |
Judith P. Fischer, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: One Sheridan Square, Suite 105, Kingsport, TN 37660 Phone: 423-427-4201 Fax: 423-247-5470 | |
Dr. James P Beckner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Suite 3a, Kingsport, TN 37660 Phone: 423-224-3220 Fax: 423-224-3233 | |
Dr. Sheldon H Fisher, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2002 Brookside Dr, Ste 300, Kingsport, TN 37660 Phone: 423-392-6370 Fax: 423-392-6736 | |
Dr. Mark L Withrow, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 5d, Kingsport, TN 37660 Phone: 423-247-7500 Fax: 423-247-7556 | |
Dr. Dennis Charles Desimone, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 204, Kingsport, TN 37660 Phone: 423-245-1040 | |
Dr. Robert Saunders, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Ste 3a, Kingsport, TN 37660 Phone: 423-224-3220 Fax: 423-224-3233 |