| Trinity Medical Services, Pllc | |
|
106 Ferrell Ave Suite 5 Kingsport TN 37663-2655 | |
| (423) 239-0099 | |
| (423) 239-0273 |
| Full Name | Trinity Medical Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Ferrell Ave, Kingsport, Tennessee |
| Authorized Official Name and Position | Dewayne Scott Steffey (FNP/OWNER) |
| Authorized Official Contact | 4232390099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Services, Pllc 106 Ferrell Ave Suite 5 Kingsport TN 37663-2655 Ph: (423) 239-0099 | Trinity Medical Services, Pllc 106 Ferrell Ave Suite 5 Kingsport TN 37663-2655 Ph: (423) 239-0099 |
| NPI Number | 1891109609 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 7214218924 |
|---|---|
| Medicare Enrollment ID | O20170111000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891109609 | NPI | - | NPPES |
| 6090229 | Other | TN | BCBS |
| Q024497 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APN7390 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Dewayne S Steffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548252638 PECOS PAC ID: 5991872228 Enrollment ID: I20080929000047 |
| Provider Name | Cassie Jeanette Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114379625 PECOS PAC ID: 7911294236 Enrollment ID: I20160929001309 |
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