Individual ProviderChad BatesFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660(423) 857-2260PECOS EnrollmentBased on the most recent information from CMS, provider Chad Bates is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1003926353Provider TypeIndividualFull NameBates, ChadTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/30/2006Last Updated9/16/2009Contact InformationPractice LocationPractice Address2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660Phone(423) 857-2260FaxUnlisted FaxMailing LocationMailing AddressPO Box 9, Hmg Credentialing, Kingsport, TN 37660PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense43411TennesseeCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101241364VirginiaProvider IdentifiersIDDescriptionIssuerID3001348DescriptionMedicaidIssuerUnlistedTennesseeID1003926353DescriptionMedicaidIssuerUnlistedVirginia