John W Thurman, PHD | |
1633 Hillview Dr, Elizabethton, TN 37643-4115 | |
(423) 282-1480 | |
(423) 928-1353 |
Full Name | John W Thurman |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1633 Hillview Dr, Elizabethton, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790705341 | NPI | - | NPPES |
3983164 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | P0000002598 (Tennessee) | Primary |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
Entity Name | Cs Pacs 3 Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
Mailing Address | Practice Location Address |
---|---|
John W Thurman, PHD 2 Redbush Ct, Suite 2, Johnson City, TN 37601-4340 Ph: (423) 283-4958 | John W Thurman, PHD 1633 Hillview Dr, Elizabethton, TN 37643-4115 Ph: (423) 282-1480 |
Emma Micaela Walker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1505 W Elk Ave Ste 2b, Elizabethton, TN 37643 Phone: 423-439-7320 |