Tracy Harrison Goen, MD | |
917 W Walnut St, Johnson City, TN 37604-6527 | |
(423) 439-6471 | |
(423) 439-4320 |
Full Name | Tracy Harrison Goen |
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Gender | Male |
Speciality | Family Medicine |
Location | 917 W Walnut St, 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 |
---|---|---|---|
1770561995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 47760 (Tennessee) | Primary |
Entity Name | Pai Participant 29, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245813757 PECOS PAC ID: 6002216215 Enrollment ID: O20210609002615 |
Entity Name | Universal Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20230124003094 |
Mailing Address | Practice Location Address |
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Tracy Harrison Goen, MD Po Box 16337, Bristol, VA 24209-6337 Ph: (979) 224-0717 | Tracy Harrison Goen, MD 917 W Walnut St, Johnson City, TN 37604-6527 Ph: (423) 439-6471 |
Dr. Paula Renee Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604 Phone: 423-431-1810 Fax: 423-431-1811 | |
David T Deroos, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 205 Summer Rose Ln, Johnson City, TN 37601 Phone: 704-658-8727 | |
Dr. Clinton Steve Webb, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
Dr. Nazia Iqbal Shehzad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
Chelsy L Elkins, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1009 Novus Dr Ste 1a, Johnson City, TN 37604 Phone: 423-282-2516 | |
Janice B. Schweitzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604 Phone: 423-282-0751 Fax: 423-282-1577 | |
Jim L Wilson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118 |