Luis Carmona, | |
1043 Jack Vest Dr, Johnson City, TN 37614 | |
(423) 439-4044 | |
Not Available |
Full Name | Luis Carmona |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1043 Jack Vest Dr, 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 |
---|---|---|---|
1639953730 | NPI | - | NPPES |
Q086333 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14490 (Tennessee) | Primary |
Provider Name | Medical Education Assistance Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795 |
Mailing Address | Practice Location Address |
---|---|
Luis Carmona, 1401 Merrywood Dr, Johnson City, TN 37604-7238 Ph: () - | Luis Carmona, 1043 Jack Vest Dr, Johnson City, TN 37614 Ph: (423) 439-4044 |
Lauren Hope Campbell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3915 Bristol Hwy Ste 301, Johnson City, TN 37601 Phone: 423-556-8943 | |
Alexis Beach, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2312 Knob Creedk Rd Ste 200, Johnson City, TN 37604 Phone: 423-232-8302 | |
Dr. Hannah Michelle Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 E Mountain View Rd, Johnson City, TN 37601 Phone: 423-291-0234 | |
Amanda M Minick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044 | |
Jacqueline Ann White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 Lyle St Ste 118, Johnson City, TN 37604 Phone: 423-328-3156 | |
Jessica Story, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311 | |
Olivia Cathryn Boles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3135 Peoples St Ste 404, Johnson City, TN 37604 Phone: 423-454-1006 |