Samuel W Huddleston Iv, MD | |
2002 Brookside Drive, Ste 201, Kingsport, TN 37660 | |
(423) 245-7080 | |
(423) 245-7875 |
Full Name | Samuel W Huddleston Iv |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 41 Years |
Location | 2002 Brookside Drive, 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 |
---|---|---|---|
1770508525 | NPI | - | NPPES |
384053 | Other | ANTHEM | |
15029 | Other | LIC | |
5331096 | Other | AETNA | |
3032417 | Medicaid | TN | |
0070707 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 15029 (Tennessee) | Primary |
Entity Name | Sam W Huddleston Iv Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649641200 PECOS PAC ID: 2365742038 Enrollment ID: O20151202000691 |
Mailing Address | Practice Location Address |
---|---|
Samuel W Huddleston Iv, MD 2002 Brookside Drive, Ste 201, Kingsport, TN 37660 Ph: (423) 245-7080 | Samuel W Huddleston Iv, MD 2002 Brookside Drive, Ste 201, Kingsport, TN 37660 Ph: (423) 245-7080 |
Mark H Kadowaki, MD Surgery Medicare: Medicare Enrolled Practice Location: 121 E Ravine Rd, Suite 200, Kingsport, TN 37660 Phone: 423-408-7050 Fax: 423-408-7054 | |
George M Testerman Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5826 Fax: 423-224-6242 | |
Dr. Cheryl Stanski, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 4a, Kingsport, TN 37660 Phone: 423-392-6265 Fax: 423-392-6272 | |
Andrew Phillip Kramer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396 | |
Dr. Jeffrey R Kappa, MD Surgery Medicare: Medicare Enrolled Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-245-2396 | |
Raymond Powell Compton, Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Dr. Elizabeth Michele Jackson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St, Suite 2900, Kingsport, TN 37660 Phone: 423-245-6101 Fax: 423-245-2396 |