Mr David Matthew Pryputniewicz, MD | |
444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 | |
(423) 578-1518 | |
(423) 230-6349 |
Full Name | Mr David Matthew Pryputniewicz |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 23 Years |
Location | 444 Clinchfield St Ste 103, 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 |
---|---|---|---|
1871790691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 21722 (West Virginia) | Secondary |
207T00000X | Neurological Surgery | MD44042 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johnson City Medical Center | Johnson city, TN | Hospital |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Medical Management Corporation | 9739099441 | 280 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Entity Name | Blue Ridge Neuroscience Center, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871502880 PECOS PAC ID: 8224090519 Enrollment ID: O20041029000127 |
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 |
---|---|
Mr David Matthew Pryputniewicz, MD 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 Ph: (423) 578-1518 | Mr David Matthew Pryputniewicz, MD 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 Ph: (423) 578-1518 |
Kenneth Wayne Smith, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Sheridan Sq, Suite 200, Kingsport, TN 37660 Phone: 423-246-8061 Fax: 423-243-8278 | |
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 |