Kelly P Gunter, MD | |
1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 | |
(423) 926-4966 | |
(423) 926-1823 |
Full Name | Kelly P Gunter |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1301 Sunset Dr, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255380481 | NPI | - | NPPES |
89063PF | Other | NC | NORTH CAROLINA MEDICAID |
3151473 | Other | TN | BCBS |
64025919 | Other | KY | KENTUCKY MEDICAID |
3855812 | Medicaid | TN | |
7207956 | Other | VA | VIRGINIA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 19968 (Tennessee) | Primary |
Entity Name | Mountain Empire Radiology Inc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762759 PECOS PAC ID: 4688655392 Enrollment ID: O20040527001323 |
Mailing Address | Practice Location Address |
---|---|
Kelly P Gunter, MD 1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 Ph: (423) 926-4966 | Kelly P Gunter, MD 1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 Ph: (423) 926-4966 |
Dr. Samuel Winston Huddleston V, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Suite 31, Johnson City, TN 37604 Phone: 423-431-2478 | |
Dr. Vinay Jain, M.D. Radiology Medicare: Medicare Enrolled Practice Location: James H Quillen Vamc, Mountain Home, Johnson City, TN 37684 Phone: 423-926-1171 | |
Glynda Ramsey, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Jose E Picaza, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Perry Jernigan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Dr. Vincent Gerard Becker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Dr. Ethel L Longmire O'neal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Med Tech Pkwy Ste 10, Johnson City, TN 37604 Phone: 234-979-5620 Fax: 423-926-1823 |