Laddie Crisp Iii, MD | |
1 Medical Park Blvd Ste 255w, Bristol, TN 37620-7430 | |
(276) 378-2026 | |
Not Available |
Full Name | Laddie Crisp Iii |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 6 Years |
Location | 1 Medical Park Blvd Ste 255w, Bristol, 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 |
---|---|---|---|
1184114175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MRM-1726 (Idaho) | Secondary |
208M00000X | Hospitalist | 0101272131 (Virginia) | Secondary |
208M00000X | Hospitalist | 63278 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Hospice | Abingdon, VA | Hospice |
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellmont Medical Associates Inc | 8123291739 | 426 |
Wellmont Medical Associates Inc | 8123291739 | 426 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Laddie Crisp Iii, MD 509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579 Ph: (423) 302-6567 | Laddie Crisp Iii, MD 1 Medical Park Blvd Ste 255w, Bristol, TN 37620-7430 Ph: (276) 378-2026 |
Stephanie Ann Adams, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 3w, Bristol, TN 37620 Phone: 423-282-1480 Fax: 423-928-1353 | |
Dr. Walter Davis Arnold Jr., MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-282-1480 Fax: 423-928-1353 | |
Dr. Robert N Tiballi, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
Linda Chong Moody, NP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-3993 Fax: 423-844-4411 | |
Sarah Elizabeth Gantt Gach, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-990-3012 Fax: 423-990-3045 | |
Mark Y Sah, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-5560 Fax: 423-844-5569 | |
Jared W Pack, DO Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-5560 Fax: 423-844-5569 |