Mr George A Ford, | |
408 N State Of Franklin Rd, Suite 31b, Johnson City, TN 37604-6089 | |
(423) 431-4946 | |
(423) 431-4947 |
Full Name | Mr George A Ford |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 408 N State Of Franklin Rd, 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 |
---|---|---|---|
1750525713 | NPI | - | NPPES |
1750525713 | Medicaid | VA | |
7100432280 | Medicaid | KY | |
Q013984 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 52555 (Tennessee) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 52555 (Tennessee) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr George A Ford, 408 N State Of Franklin Rd, Suite 31b, Johnson City, TN 37604-6089 Ph: (423) 431-4946 | Mr George A Ford, 408 N State Of Franklin Rd, Suite 31b, Johnson City, TN 37604-6089 Ph: (423) 431-4946 |
John William Schweitzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 | |
Mrs. Priya Narayanan Jain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Jodi B Gage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Dr. Demetrio Rebano Macariola Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Karen E Schetzina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
William Scott Dodd, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Ahmad A Wattad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 |