Mr Adam J Horn, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Johnson City, Tennessee. His current practice location is
403 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 431-7047.
Mr Adam J Horn is licensed to practice in Virginia (license number 0024181268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255515896.
Healthcare Provider's Profile
| Full Name | Mr Adam J Horn |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 403 N State Of Franklin Rd, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255515896
- Provider Enumeration Date: 12/18/2007
- Last Update Date: 08/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466726864
- Enrollment ID: I20170925000591
Medical Identifiers
Medical identifiers for Mr Adam J Horn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255515896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LH00010956 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | C-RXN.0001416-C-NP (Colorado) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 22909 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024181268 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Adam J Horn allows following entities to bill medicare on his behalf.
| Entity Name | Blue Ridge Medical Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996 |
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| Entity Name | Wellmont Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Adam J Horn is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Adam J Horn, NP
21937 Bramblebush Ter,
Broadlands, VA 20148-5313
Ph: (423) 330-2316 | Mr Adam J Horn, NP
403 N State Of Franklin Rd,
Johnson City, TN 37604-6034
Ph: (423) 431-7047 |
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