Thomas W Jernigan, MD | |
325 N State Of Franklin Rd, 1st Floor, Johnson City, TN 37604-6062 | |
(423) 439-7272 | |
(423) 439-7235 |
Full Name | Thomas W Jernigan |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 325 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 |
---|---|---|---|
1528063245 | NPI | - | NPPES |
3169458 | Medicaid | TN | |
3714470 | Other | TN | GROUP MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 11979 (Tennessee) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 11979 (Tennessee) | Primary |
Entity Name | Medical Education Assistance Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795 |
Mailing Address | Practice Location Address |
---|---|
Thomas W Jernigan, MD 325 N State Of Franklin Rd, 1st Floor, Johnson City, TN 37604-6062 Ph: (423) 439-7272 | Thomas W Jernigan, MD 325 N State Of Franklin Rd, 1st Floor, Johnson City, TN 37604-6062 Ph: (423) 439-7272 |
Lauryn Camille Gabby, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2335 Knob Creek Rd Ste 100, Johnson City, TN 37604 Phone: 423-430-9942 | |
Martin E. Olsen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd Fl 1, Johnson City, TN 37604 Phone: 423-439-7272 Fax: 423-439-7235 | |
Dr. Molly Talcott Heinzen Oxford, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd Fl 1, Johnson City, TN 37604 Phone: 423-439-7272 Fax: 423-439-7235 | |
Brian H Dunkelberger, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Ste. 200, Johnson City, TN 37604 Phone: 423-794-1300 Fax: 423-794-1820 | |
Marcia M Sentell, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Ste 200, Johnson City, TN 37604 Phone: 423-794-1300 Fax: 423-794-1820 | |
Dr. Blake T Rozycki, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 200, Johnson City, TN 37604 Phone: 423-794-1300 Fax: 423-794-1820 | |
Tara Vick, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd Fl 1, Johnson City, TN 37604 Phone: 423-439-7272 |