Individual ProviderDeborah ReiffFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address105 W Stone Dr, Ste 5d, Kingsport, TN 37660-3256(423) 578-1553(423) 857-2006PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Reiff does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1346242302Provider TypeIndividualFull NameReiff, DeborahTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/2/2005Last Updated9/23/2009Contact InformationPractice LocationPractice Address105 W Stone Dr, Ste 5d, Kingsport, TN 37660-3256Phone(423) 578-1553FaxUnlisted FaxMailing LocationMailing AddressPO Box 9, Kingsport, TN 37662-0009Phone(423) 857-2006Fax(423) 857-2070Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD 12540TennesseeCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101036430VirginiaProvider IdentifiersIDDescriptionIssuerID1346242302DescriptionMedicaidIssuerUnlistedVirginiaID5616824DescriptionMedicaidIssuerUnlistedVirginiaID30006281DescriptionMedicaidIssuerUnlistedTennessee