Mr Stephen Michael Kimbrough, MD | |
1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 | |
(423) 928-6174 | |
(423) 926-2258 |
Full Name | Mr Stephen Michael Kimbrough |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1321 Sunset Drive, 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 |
---|---|---|---|
1851345235 | NPI | - | NPPES |
100027216 | Other | PHP CARITEN TENNCARE | |
1292658 | Other | UMWA | |
A55605 | Other | JOHN DEERE | |
026086900 | Other | BLACK LUNG COAL MINERS | |
130014283 | Other | UNITED HEALTHCARE | |
3180257 | Medicaid | TN | |
602003807 | Other | PHP CARITEN | |
0140000838 | Other | CIGNA | |
164888600 | Other | OWCP DEPT OF LABOR | |
006190821 | Medicaid | VA | |
0014824 | Other | TN | BCBS |
130014283 | Other | RR MEDICARE | |
027897 | Other | GM RETIREES | |
7905920 | Medicaid | NC | |
05920 | Other | NC | NC STATE |
64796949 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD012583 (Tennessee) | Primary |
Entity Name | Tri-state Mountain Neurology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801823638 PECOS PAC ID: 4587753892 Enrollment ID: O20071208000189 |
Mailing Address | Practice Location Address |
---|---|
Mr Stephen Michael Kimbrough, MD 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 Ph: (423) 928-6174 | Mr Stephen Michael Kimbrough, MD 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 Ph: (423) 928-6174 |
Jason Hayes, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 | |
Dr. Zachary A. Hammons, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227 | |
Dr. Jeremiah L Marsh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd Fl 2, Johnson City, TN 37604 Phone: 423-439-7280 Fax: 423-439-7314 | |
Dr. Margaret Shippen Robbins, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 302 Sunset Dr, Suite 106, Johnson City, TN 37604 Phone: 423-434-7098 Fax: 423-434-7098 | |
Dr. Ali Al Garatli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Johnson City, TN 37605 Phone: 423-232-2600 Fax: 423-232-2646 | |
Dr. Guyton Register, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2408 Susannah St, Johnson City, TN 37601 Phone: 423-928-2999 | |
Clay Blanchett, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 403 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-7111 |