Individual ProviderBeth Anne FoxFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address102 E Ravine Rd, Kingsport, TN 37660-3814(423) 245-9600PECOS EnrollmentThis provider is enrolled in PECOS as BETH FOX.Based on the most recent information from CMS, provider Beth Anne Fox 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 2 days ago.Profile DetailsProvider ID1225014483Provider TypeIndividualFull NameFox, Beth AnneCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date12/20/2005Last Updated1/17/2024Contact InformationPractice LocationPractice Address102 E Ravine Rd, Kingsport, TN 37660-3814Phone(423) 245-9600Fax(423) 245-9634Mailing LocationMailing AddressPO Box 699, Mountain Home, TN 37684-0699Phone(423) 245-9600Fax(423) 245-9634Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense31412TennesseeProvider IdentifiersIDDescriptionIssuerID1505659DescriptionMedicaidIssuerUnlistedTennessee