Kenneth Wayne Smith, MD | |
2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 | |
(423) 246-8061 | |
(423) 243-8278 |
Full Name | Kenneth Wayne Smith |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 41 Years |
Location | 2 Sheridan Sq, 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 |
---|---|---|---|
1033101126 | NPI | - | NPPES |
3047670 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD020006 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Entity Name | Blue Ridge Neuroscience Center, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871502880 PECOS PAC ID: 8224090519 Enrollment ID: O20041029000127 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Wayne Smith, MD 2 Sheridan Sq Ste 200, Kingsport, TN 37660-7399 Ph: (423) 246-8061 | Kenneth Wayne Smith, MD 2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 Ph: (423) 246-8061 |
Dr. Jon William Taveau, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St Ste 103, Kingsport, TN 37660 Phone: 423-578-1518 Fax: 423-230-6349 | |
Dr. Lawrence P. Hartman, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Suite 4a, Kingsport, TN 37660 Phone: 423-392-9300 Fax: 423-392-9365 | |
Mr. David Matthew Pryputniewicz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St Ste 103, Kingsport, TN 37660 Phone: 423-578-1518 Fax: 423-230-6349 |