Amber P Gourley, RD in Kingsport, TN - Medicare Registered Dietitian Or Nutrition Professional Provider

Amber P Gourley, RD is a medicare enrolled "Dietitian, Registered" provider in Kingsport, Tennessee. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is 444 Clinchfield St Ste 201, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 230-2113.

Amber P Gourley is licensed to practice in Tennessee (license number 2620) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760814271.

Contact Information

	Amber P Gourley, RD
	444 Clinchfield St Ste 201, Kingsport, TN 37660-3863
	(423) 230-2113
	(423) 230-2112

Map and Direction

Healthcare Provider's Profile

Full Name	Amber P Gourley
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	18 Years
Location	444 Clinchfield St Ste 201, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amber P Gourley graduated from medical school in 2006

NPI Data:

NPI Number: 1760814271
Provider Enumeration Date: 08/07/2013
Last Update Date: 10/04/2018

Medicare PECOS Information:

PECOS PAC ID: 0244468189
Enrollment ID: I20140122001323

Medical Identifiers

Medical identifiers for Amber P Gourley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760814271	NPI	-	NPPES
2620	Other	TN	ST LIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2620 (Tennessee)	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. Amber P Gourley allows following entities to bill medicare on her behalf.

Provider Name	Mountain Region Family Medicine P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467565804 PECOS PAC ID: 5890699961 Enrollment ID: O20031120000676

Provider Name	Heal U, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396219341 PECOS PAC ID: 1153652110 Enrollment ID: O20191007001462

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. Amber P Gourley 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
Amber P Gourley, RD 2866 Carroll Creek Rd, Johnson City, TN 37615-4541 Ph: (423) 439-4071	Amber P Gourley, RD 444 Clinchfield St Ste 201, Kingsport, TN 37660-3863 Ph: (423) 230-2113

Reviews and Comments

Dietitian, Registered in Kingsport, TN

Caroline Knauss Chestnut, Dietitian Medicare: Medicare Enrolled Practice Location: 2205 Pavilion Dr Ste 101, Kingsport, TN 37660 Phone: 423-392-6000
Jennifer Walker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste: 2d, Kingsport, TN 37660 Phone: 423-578-1588 Fax: 423-857-2012
Patti K (kati) Dunn, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 327 Hidden Valley Rd, Kingsport, TN 37663 Phone: 423-571-0358
Kathryn Tremaine, Dietitian Medicare: Medicare Enrolled Practice Location: 2205 Pavilion Dr Ste 101, Kingsport, TN 37660 Phone: 423-392-6000
Chastity M O'quinn, RD Dietitian Medicare: Medicare Enrolled Practice Location: 444 Clinchfield St Ste 2900, Kingsport, TN 37660 Phone: 423-723-2900 Fax: 423-723-2901
Calle M Pisk, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Netherland Ln, Kingsport, TN 37660 Phone: 423-245-0360
David Fox Talley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 2d, Kingsport, TN 37660 Phone: 423-578-1588

Amber P Gourley, RD - Medicare Dietitian in Kingsport, TN