Trask A Printz, DO | |
102 E Ravine Rd, Kingsport, TN 37660-3814 | |
(432) 245-9600 | |
(423) 245-9634 |
Full Name | Trask A Printz |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 102 E Ravine Rd, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982167110 | NPI | - | NPPES |
Q050585 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4778 (Tennessee) | Primary |
Entity Name | Medical Education Assistance Corporation |
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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 |
---|---|
Trask A Printz, DO Po Box 699, Mountain Home, TN 37684-0699 Ph: () - | Trask A Printz, DO 102 E Ravine Rd, Kingsport, TN 37660-3814 Ph: (432) 245-9600 |
Mary Axelrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663 Phone: 423-239-5141 Fax: 423-239-4869 | |
Douglas J. Rose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634 | |
Dr. Chad Bates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660 Phone: 423-857-2260 | |
Dr. Edward Monty Stirman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-323-6200 Fax: 423-323-6593 | |
Dr. Anthony Tin-lung Ng, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
Jerry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-392-6200 | |
Ms. Lesley Ann Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660 Phone: 423-247-0462 Fax: 423-247-0465 |