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Lesley Ann Jones

Family Medicine

Allopathic & Osteopathic Physicians

2012 Brookside Dr, Ste 6, Kingsport, TN 37660-4645

PECOS Enrollment

This provider is enrolled in PECOS as LESLEY JONES.

Based on the most recent information from CMS, provider Lesley Ann Jones is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 12:05 PM.

Profile Details

Provider ID
1053479139
Provider Type
Individual
Full Name
Jones, Lesley Ann
Title
Ms.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
12/4/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2012 Brookside Dr, Ste 6, Kingsport, TN 37660-4645

(423) 247-0462

(423) 247-0465

Mailing Location

2012 Brookside Drive, Ste 6, Kingsport, TN 37660-4645

(423) 247-0462

(423) 247-0465

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD0000024370 Tennessee
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101049268 Virginia
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 35148 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 3108307	Description Other	Issuer BCBS OF TN Tennessee
ID 00325400	Description Other	Issuer ANTHEM BCBS
ID 3108307	Description Medicaid	Issuer Unlisted Tennessee

Lesley Ann Jones

PECOS Enrollment

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