Mrs Kristy Strong Eisenzopf, MED, CCC-SLP | |
156 S. Dossett Drive, Lamb Hall, Room 363, Johnson City, TN 37614-1702 | |
(423) 439-4355 | |
(423) 439-4607 |
Full Name | Mrs Kristy Strong Eisenzopf |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 156 S. Dossett Drive, 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 |
---|---|---|---|
1205154986 | NPI | - | NPPES |
5247 | Other | TN | TN LICENSE TO PRACTICE |
Q006294 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA 10286 (Florida) | Secondary |
235Z00000X | Speech-language Pathologist | SP5247 (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 |
---|---|
Mrs Kristy Strong Eisenzopf, MED, CCC-SLP Po Box 699, Mountain Home, TN 37684-0699 Ph: (423) 439-4584 | Mrs Kristy Strong Eisenzopf, MED, CCC-SLP 156 S. Dossett Drive, Lamb Hall, Room 363, Johnson City, TN 37614-1702 Ph: (423) 439-4355 |
Mrs. Abigale Grimm, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2214 E Fairview Ave, Johnson City, TN 37601 Phone: 423-928-6464 | |
Mrs. Pamela Faith Abner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Wesley St Ste 1, Johnson City, TN 37601 Phone: 423-282-1700 Fax: 423-282-9319 | |
Bethany B Thomas, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2340 Knob Creek Road, Suite 704, Johnson City, TN 37604 Phone: 423-929-9101 Fax: 423-434-2032 | |
Jerrica Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 271 Rockingham Meadows Dr, Johnson City, TN 37615 Phone: 423-557-3757 | |
Krista Swanson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 204 E Mountain View Rd Apt 25, Johnson City, TN 37601 Phone: 952-393-1237 | |
Jeanne Wilson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 Millbrook Dr, Johnson City, TN 37604 Phone: 423-952-0829 | |
Carol L Davidson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 302 Wesley St, Suite 8, Johnson City, TN 37601 Phone: 423-282-1700 Fax: 423-282-9319 |