Joseph F Smiddy, MD | |
208 Front St W, Coeburn, VA 24230 | |
(276) 455-5556 | |
(276) 455-5557 |
Full Name | Joseph F Smiddy |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 208 Front St W, Coeburn, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487606729 | NPI | - | NPPES |
C05950 | Other | VA | TRAILBLAZER GROUP PTAN |
055803 | Other | VA | ANTHEM |
1738991 | Other | TN | UNITED HEALTHCARE |
2005685 | Other | TN | BLUE CROSS BLUE SHIELD |
5983040 | Other | TN | AETNA |
006014267 | Other | VA | VIRGINIA MEDICAID |
3153299 | Medicaid | TN | |
62134825602 | Other | TN | JOHN DEERE HEALTHCARE |
64740723 | Other | KY | KENTUCKY MEDICAID |
100023154 | Other | TN | PHP TENN CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 0101018713 (Virginia) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 33413 (Tennessee) | Primary |
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 |
Entity Name | Appalachian Center For Excellence In Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003380759 PECOS PAC ID: 6507108545 Enrollment ID: O20190423002833 |
Mailing Address | Practice Location Address |
---|---|
Joseph F Smiddy, MD Po Box 90, Coeburn, VA 24230-0090 Ph: (276) 455-5556 | Joseph F Smiddy, MD 208 Front St W, Coeburn, VA 24230 Ph: (276) 455-5556 |
Dr. Gucharan S Kanwal, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 116 Centre Ave Ne, Coeburn, VA 24230 Phone: 276-395-6244 Fax: 276-395-3058 | |
Thomas E Renfro, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 515 Front St W, Coeburn, VA 24230 Phone: 276-395-2389 Fax: 276-395-6634 |