| Anchor Health & Wellness Pllc | |
|
607 Holston Ave Ste B Bristol TN 37620-3592 | |
| (423) 968-1772 | |
| Not Available |
| Full Name | Anchor Health & Wellness Pllc |
|---|---|
| Speciality | General Practice |
| Location | 607 Holston Ave Ste B, Bristol, Tennessee |
| Authorized Official Name and Position | John Blakley (OWNER) |
| Authorized Official Contact | 4234291126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Health & Wellness Pllc 607 Holston Ave Ste B Bristol TN 37620-3592 Ph: (423) 968-1772 | Anchor Health & Wellness Pllc 607 Holston Ave Ste B Bristol TN 37620-3592 Ph: (423) 968-1772 |
| NPI Number | 1598483521 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 7719363605 |
|---|---|
| Medicare Enrollment ID | O20220929002336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598483521 | NPI | - | NPPES |
| 1194289298 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John Paul Blakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289298 PECOS PAC ID: 4981033644 Enrollment ID: I20200331002085 |
| Provider Name | Robert Lee Rogers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710923990 PECOS PAC ID: 0446374227 Enrollment ID: I20210216002244 |
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