Dwight H Willett (NPI# 1598746554, PAC ID# 8022076157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598746554 |
| PAC ID by PECOS | 8022076157 |
| Professional Enrollment ID | I20041221000778 |
| Full Name | Dwight H Willett |
| Organization Legal Name | KINGSTON FAMILY PRACTICE, P.C. |
| Address |
820 W Race St Kingston TN 37763-2120 |
| Phone Number | 8653763406 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5294734182 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440031 | ROANE MEDICAL CENTER |
| 440009 | CUMBERLAND MEDICAL CENTER |
| 440034 | METHODIST MEDICAL CENTER OF OAK RIDGE |
| Address | Phone | Organization |
|---|---|---|
| 820 W Race St, Kingston, TN 37763-2120 | 8653763406 | KINGSTON FAMILY PRACTICE, P.C. |
| Organization Legal Name | KINGSTON FAMILY PRACTICE, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly K Glasure | Physician Assistant | Kingston Family Practice, P.C. | 820 W Race St, Kingston, TN 37763-2120 |
| Street Address |
820 W RACE ST |
| City | KINGSTON |
| State | TN |
| Zip | 37763-2120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farzana S Iqbal | Internal Medicine | 820 W Race St, Kingston, TN 37763-2120 | |
| Beverly K Glasure | Physician Assistant | Kingston Family Practice, P.C. | 820 W Race St, Kingston, TN 37763-2120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wanda Jean Price | Nurse Practitioner | Exac Care LLC | 930 W Race St, Kingston, TN 37763-2122 |
| Adam J Hill | Nurse Practitioner | Exac Care LLC | 930 W Race St, Kingston, TN 37763-2122 |
| Amanda S Ferguson | Nurse Practitioner | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Buffy D Snow | Nurse Practitioner | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Bhavana Vora | Family Medicine | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Megan H Chapman | Physician Assistant | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Stephanie A. Estes | Chiropractic | Estes Family Chiropractic and Wellness Clinic | 1190 N Kentucky St, Kingston, TN 37763-2350 |
| Christopher M. Estes | Chiropractic | Estes Family Chiropractic and Wellness Clinic | 1190 N Kentucky St, Kingston, TN 37763-2350 |
| Farideh N Golembiewski | Nurse Practitioner | National Physicians PC | 1027 Waterford Pl, Kingston, TN 37763-2686 |
| Thomas Francis Boduch | Family Medicine | 314 E Spring St, Kingston, TN 37763-2839 | |
| Find all physicians in zip 37763 | |||
| City | KINGSTON |
| Zip Code | 37763 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINGSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dwight H Willett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.