Bulls Gap Medical Center | |
260 Highway 11 E Bulls Gap TN 37711-3416 | |
(423) 235-4191 | |
(423) 235-7092 |
Full Name | Bulls Gap Medical Center |
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Speciality | Clinic/Center |
Location | 260 Highway 11 E, Bulls Gap, Tennessee |
Authorized Official Name and Position | Linda W Buck (CEO) |
Authorized Official Contact | 4232729163 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bulls Gap Medical Center Po Box 850 Rogersville TN 37857-0850 Ph: (423) 272-9163 | Bulls Gap Medical Center 260 Highway 11 E Bulls Gap TN 37711-3416 Ph: (423) 235-4191 |
NPI Number | 1770583544 |
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Provider Enumeration Date | 07/22/2005 |
Last Update Date | 10/10/2008 |
Medicare PECOS PAC ID | 0941118111 |
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Medicare Enrollment ID | O20031107000207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770583544 | NPI | - | NPPES |
006 | Other | CHAMPUS PROVIDER | |
4448148 | Medicaid | TN | |
3703863 | Other | CIGNA/MEDICARE | |
4122525 | Other | TN | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Mark R Doman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013913391 PECOS PAC ID: 0143280834 Enrollment ID: I20041018000114 |
Provider Name | Jose P Velasco |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861496390 PECOS PAC ID: 2466514823 Enrollment ID: I20081218000237 |
Provider Name | Wesley R Hanson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104821743 PECOS PAC ID: 6305908724 Enrollment ID: I20081218000690 |
Provider Name | Mark J Dalle-ave |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801892054 PECOS PAC ID: 5092877415 Enrollment ID: I20081218000718 |
Provider Name | Phyllis C Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114922937 PECOS PAC ID: 5496817546 Enrollment ID: I20081224000016 |
Provider Name | Catherine M Raff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578567004 PECOS PAC ID: 3779648233 Enrollment ID: I20090217000222 |
Provider Name | Amylyn L Crawford |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730183260 PECOS PAC ID: 0345385399 Enrollment ID: I20100303000025 |
Provider Name | Ann E Espey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073874277 PECOS PAC ID: 4688820707 Enrollment ID: I20120806000610 |
Provider Name | Kelly J Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518214659 PECOS PAC ID: 3072761667 Enrollment ID: I20120925000129 |
Provider Name | Michael E Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104168327 PECOS PAC ID: 9234376963 Enrollment ID: I20130516000272 |
Provider Name | Geraldine Livermore |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013100072 PECOS PAC ID: 9436373537 Enrollment ID: I20140611001068 |
Provider Name | Samuel R Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184038812 PECOS PAC ID: 6103051966 Enrollment ID: I20140820002327 |
Provider Name | Maureen J Peacock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649670639 PECOS PAC ID: 0840412045 Enrollment ID: I20141103001733 |
Provider Name | Carla Jane Weems |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528430147 PECOS PAC ID: 0244531903 Enrollment ID: I20160629002522 |
Provider Name | Tina M Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023563368 PECOS PAC ID: 0244518074 Enrollment ID: I20161031000703 |
Provider Name | Lisa A Trent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215486279 PECOS PAC ID: 1850670720 Enrollment ID: I20161116002492 |
Provider Name | Jaime A Strozier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043768419 PECOS PAC ID: 8426337304 Enrollment ID: I20161116002835 |
Provider Name | Leslie R Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730636556 PECOS PAC ID: 5496034381 Enrollment ID: I20161116002985 |
Provider Name | Emily F Benfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710438486 PECOS PAC ID: 6103108105 Enrollment ID: I20170127001114 |
Provider Name | Jamesia Hicks Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467857979 PECOS PAC ID: 5698098242 Enrollment ID: I20170127001159 |
Provider Name | Richard S Mcgill |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629076393 PECOS PAC ID: 6709933583 Enrollment ID: I20170207001956 |
Provider Name | Amy Romeo Herron |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881808871 PECOS PAC ID: 3173870193 Enrollment ID: I20180723002363 |
Provider Name | Sarath N Bachali |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1487942777 PECOS PAC ID: 9133477136 Enrollment ID: I20180808000833 |
Provider Name | Heather M Newman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699014068 PECOS PAC ID: 4587913785 Enrollment ID: I20180821003814 |
Provider Name | Chelsea B Hartsook-fields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366943383 PECOS PAC ID: 5193075331 Enrollment ID: I20180910000080 |
Provider Name | Camellia A Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932681236 PECOS PAC ID: 6103179239 Enrollment ID: I20181018003330 |
Provider Name | Teryn G Mullins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396203352 PECOS PAC ID: 4385986645 Enrollment ID: I20190507001301 |
Provider Name | Mica L Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326605841 PECOS PAC ID: 8729312368 Enrollment ID: I20190701002464 |
Provider Name | Kristen A Dykes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487128708 PECOS PAC ID: 6901132489 Enrollment ID: I20190722000890 |
Provider Name | Matthew D Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972162428 PECOS PAC ID: 4385974336 Enrollment ID: I20190918001357 |
Provider Name | Douglas C Edwards |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528615002 PECOS PAC ID: 8921430547 Enrollment ID: I20191119002384 |
Provider Name | Jacob F Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225674856 PECOS PAC ID: 1456786243 Enrollment ID: I20200124002367 |
Provider Name | Keshia B Luster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689207938 PECOS PAC ID: 4082044623 Enrollment ID: I20200421003225 |
Provider Name | Beth A Reuschel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528238912 PECOS PAC ID: 9436237518 Enrollment ID: I20210915000161 |
Provider Name | Jaelyn Yount |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477171817 PECOS PAC ID: 6204228919 Enrollment ID: I20220110000084 |
Provider Name | Eric Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114680451 PECOS PAC ID: 7719370170 Enrollment ID: I20220207001495 |
Provider Name | Rachel L Osborne Metzgar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396008025 PECOS PAC ID: 4981822723 Enrollment ID: I20220211000267 |
Provider Name | Natalie Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043965353 PECOS PAC ID: 2668866773 Enrollment ID: I20220304001775 |
Provider Name | Jewel R Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487382826 PECOS PAC ID: 7012392582 Enrollment ID: I20220920000536 |
Provider Name | Becky Arnold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013508589 PECOS PAC ID: 5294102984 Enrollment ID: I20221109002705 |
Provider Name | Christina F Stacy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144944679 PECOS PAC ID: 8224407606 Enrollment ID: I20221206002956 |
Provider Name | Christopher D Meyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417633314 PECOS PAC ID: 8921460437 Enrollment ID: I20230816000492 |
Provider Name | Brandy R Ball |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710758479 PECOS PAC ID: 8022453265 Enrollment ID: I20240228000899 |
Provider Name | Nancy A Crider |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871789842 PECOS PAC ID: 8921445230 Enrollment ID: I20240322000376 |
Provider Name | Duskin R Henard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760256424 PECOS PAC ID: 2466899695 Enrollment ID: I20240325000973 |
Provider Name | Miriam C Culbertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184487423 PECOS PAC ID: 4486093499 Enrollment ID: I20240423002458 |
Mark R. Doman, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 N Main St, Bulls Gap, TN 37711 Phone: 423-235-0063 Fax: 423-235-0066 | |
Lark Medical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Highway 11 E, Bulls Gap, TN 37711 Phone: 423-393-4052 Fax: 423-933-2915 | |
Bulls Gap Medical And Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 Highway 11 E Ste A, Bulls Gap, TN 37711 Phone: 423-393-4146 Fax: 423-393-4377 |