Marilyn A Bishop, MD | |
200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604-2278 | |
(423) 915-5033 | |
(423) 952-3777 |
Full Name | Marilyn A Bishop |
---|---|
Gender | Female |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 200 Med Tech Pkwy, 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 |
---|---|---|---|
1134185739 | NPI | - | NPPES |
3074352 | Other | TN | BCBS |
1134185739 | Medicaid | VA | |
Q003169 | Medicaid | TN | |
3062667 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | MD21539 (Tennessee) | Primary |
208D00000X | General Practice | MD21539 (Tennessee) | Secondary |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
---|---|
Marilyn A Bishop, MD 200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604-2278 Ph: (423) 915-5033 | Marilyn A Bishop, MD 200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604-2278 Ph: (423) 915-5033 |
Maria Johana Zambrano, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2 Professional Park Dr Ste 11, Johnson City, TN 37604 Phone: 423-952-6474 | |
Dr. Cynthia Crews Thomas, D.O., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Treasure Lane, Northeast Regional Health Office, Johnson City, TN 37604 Phone: 423-979-3200 Fax: 423-979-3267 | |
James Emerson Sheffey, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2306 Knob Creek Rd, Suite 100, Johnson City, TN 37604 Phone: 423-610-1177 Fax: 423-610-1179 | |
Dr. David Lee Wood, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Ankur Bhargava, MD, MPH, MSCBMI Preventive Medicine Medicare: Medicare Enrolled Practice Location: 525 W Oakland Ave Ste 1, Johnson City, TN 37604 Phone: 423-915-9592 |