Keith Pratt, MD | |
851 Locust St, Rogersville, TN 37857-2407 | |
(423) 921-7000 | |
Not Available |
Full Name | Keith Pratt |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 851 Locust St, Rogersville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396773669 | NPI | - | NPPES |
2008518 | Other | TN | BCBS OF TN |
3062697 | Medicaid | TN | |
P00255399 | Other | TN | MEDICARE RAILROAD |
64003338 | Other | TN | MEDICAID OF KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20992 (Tennessee) | Primary |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | Kingsport Primary Care, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023186145 PECOS PAC ID: 5799709770 Enrollment ID: O20060117000949 |
Entity Name | Mosheim Recovery Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003562372 PECOS PAC ID: 8527453620 Enrollment ID: O20220325001820 |
Mailing Address | Practice Location Address |
---|---|
Keith Pratt, MD 360 Caney Creek Rd, Rogersville, TN 37857-7600 Ph: () - | Keith Pratt, MD 851 Locust St, Rogersville, TN 37857-2407 Ph: (423) 921-7000 |
Christopher A Landess, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 851 Locust St, Rogersville, TN 37857 Phone: 423-921-7000 |