William Diebold, MD | |
438 E Vann Rd Ste 202, Greeneville, TN 37743-7202 | |
(423) 302-3480 | |
Not Available |
Full Name | William Diebold |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 33 Years |
Location | 438 E Vann Rd Ste 202, Greeneville, 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 |
---|---|---|---|
1770573511 | NPI | - | NPPES |
Q000598 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD26973 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Takoma Regional Hospital Inc | 8729189295 | 30 |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Entity Name | Takoma Regional Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699819003 PECOS PAC ID: 8729189295 Enrollment ID: O20070727000394 |
Mailing Address | Practice Location Address |
---|---|
William Diebold, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | William Diebold, MD 438 E Vann Rd Ste 202, Greeneville, TN 37743-7202 Ph: (423) 302-3480 |
Brian R Bonfardin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Takoma Ave, Greeneville, TN 37743 Phone: 423-639-3151 Fax: 423-798-1266 | |
Dr. Zachary Gamble, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 438 E Vann Rd Ste 202, Greeneville, TN 37743 Phone: 423-278-1856 | |
Victor J. Schueler, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4850 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-787-6800 Fax: 423-798-6204 | |
I. Devi Deean, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4850 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-787-6800 Fax: 423-798-6204 |