Dr Dawn M Nuckolls, DO - Medicare Internal Medicine in Johnson City, TN

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Dr Dawn M Nuckolls, DO is a medicare enrolled "Internal Medicine" physician in Johnson City, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice State Of Franklin Healthcare Associates, Pllc and her current practice location is 301 Med Tech Pkwy, Suite 240, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 794-5520.

Dr Dawn M Nuckolls is licensed to practice in Tennessee (license number DO2590) 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 1508120908.

Contact Information

Dr Dawn M Nuckolls, DO
301 Med Tech Pkwy, Suite 240,
Johnson City, TN 37604
(423) 794-5520
(423) 282-0720

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Physician's Profile

Full NameDr Dawn M Nuckolls
GenderFemale
SpecialityInternal Medicine
Experience12 Years
Location301 Med Tech Pkwy, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dawn M Nuckolls attended and graduated from Lincoln Memorial University Medical Department in 2012
  NPI Data:
  • NPI Number: 1508120908
  • Provider Enumeration Date: 06/29/2012
  • Last Update Date: 05/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7113154345
  • Enrollment ID: I20131216000595

Medical Identifiers

Medical identifiers for Dr Dawn M Nuckolls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508120908NPI-NPPES
Q013768MedicaidTN
1508120908MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DO2590 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ballad Health HomecareJohnson city, TNHome health agency
Johnson City Medical CenterJohnson city, TNHospital
Franklin Woods Community HospitalJohnson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Franklin Healthcare Associates, Pllc2466346291247

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. Dr Dawn M Nuckolls allows following entities to bill medicare on her behalf.
Entity NameMedical Education Assistance Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235180480
PECOS PAC ID: 3870491269
Enrollment ID: O20040206000795
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101

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. Dr Dawn M Nuckolls 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 AddressPractice Location Address
Dr Dawn M Nuckolls, DO
215 E Springbrook Dr,
Johnson City, TN 37601-1761

Ph: (423) 794-5520		Dr Dawn M Nuckolls, DO
301 Med Tech Pkwy, Suite 240,
Johnson City, TN 37604

Ph: (423) 794-5520

Reviews and Comments


Internal Medicine Doctors in Johnson City, TN

Dr. Alan Cox, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2603 Avondale Dr, Johnson City, TN 37604
Phone: 423-767-8268    
Dr. Sheeba Anand, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin, Johnson City, TN 37614
Phone: 423-439-6283    
Dr. Charles Famoyin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601
Phone: 423-282-0561    Fax: 423-268-2674
Robert Taylor Means Jr., MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604
Phone: 423-439-7280    Fax: 423-439-7314
Dr. Tariq Ziad Haddadin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604
Phone: 423-926-4468    Fax: 423-928-4838
Timothy O Mcbride, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
John M Daniel, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614
Phone: 423-282-1480    Fax: 423-928-1353

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.