Matthew Dean Beasey, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Abingdon, VA
NPI 1962495853 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1962495853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 0101227652 (VA)
- Practice address
- 16000 Johnston Memorial Dr
Suite 112
Abingdon, VA 24211-7664 - Phone
- (276) 258-3780
- Fax
- (276) 258-3776
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- University of Missouri, Kansas City, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Medical Management Corporation
Practice addresses (Care Compare)
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
323 Falls NWDR
Abingdon, VA 24210-8093
Phone (276) 628-2612
Hospital & facility affiliations
- Johnston Memorial Hospital
- Clinch Valley Medical Center
- Russell County Hospital
- Smyth County Community Hospital
- Lonesome Pine Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041116000140 | TN | Practitioner - Endocrinology |
4284698648 | Reassigns benefits to 1 organization |
| I20150224001192 | VA | Practitioner - Endocrinology |
4284698648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000034330 | TN | MD | Endocrinology, Diabetes & Metabolism Physician |
| 0101227652 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Internal Medicine | Current |
Accepting new patients |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101227652 | VA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD0000034330 | TN | |
| Pediatrics Physician | 208000000X | 0101227652 | VA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101227652 | VA | Yes |
Addresses
Primary practice location
16000 Johnston Memorial Dr
Suite 112
Abingdon, VA 24211-7664
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962495853 | Medicaid | VA | |
| P01569581 | Other | VA | RAILROAD MEDICARE |
| 3852989 | Medicaid | TN |
Other providers in Abingdon, VA
- Sherry L Barrett
- Shea Kinder Bartz
- Laura D Bays
- Vickie Lynne Beam
- Dierdre Beard
- Crystal Belcher
- James Russell Belcher
- Melissa W Belcher
- Benchmark Physical Therapy of VA, LLC
- Heather C Benevento
All providers in Abingdon, VA · Endocrinology, Diabetes & Metabolism Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.