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Scott D Mclain

Family Medicine

Allopathic & Osteopathic Physicians

1526 Bridgewater Ln, Kingsport, TN 37660-4106

PECOS Enrollment

This provider is enrolled in PECOS as SCOTT MCLAIN.

Based on the most recent information from CMS, provider Scott D Mclain is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1285664839
Provider Type
Individual
Full Name
Mclain, Scott D
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/3/2006
Last Updated
3/17/2018

Contact Information

Practice Location

1526 Bridgewater Ln, Kingsport, TN 37660-4106

(423) 246-0033

(423) 245-0034

Mailing Location

1526 Bridgewater Ln, Kingsport, TN 37660-4106

(423) 246-0033

(423) 245-0034

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD39507 Tennessee

Provider Identifiers

ID	Description	Issuer
ID CA7108	Description Other	Issuer RAILROAD MEDICARE Tennessee

Scott D Mclain

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Barakam, Neha

Casey, Gary Q

Pizzola, Jason Laurence

Bates, Chad

Hixson, Constance Thetford

Blue Ridge Medical Management Corporation

Hadley, Eric

Jantzi, Curtis Matthew

Lawrence, Amy Christine

Brazee, Louise J