Dr Paul R Porter, MD is a medicare enrolled "Internal Medicine" physician in Portland, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Advanced Diagnostic Imaging Pc and his current practice location is
934 S. Broadway, Suite #3, Portland, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 325-6446.
Dr Paul R Porter is licensed to practice in Tennessee (license number TN15103) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134154461.
Physician's Profile
| Full Name | Dr Paul R Porter |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 42 Years |
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| Location | 934 S. Broadway, Portland, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Paul R Porter attended and graduated from East Tennessee State University Quillen College Of Medicine in 1982
NPI Data:
- NPI Number: 1134154461
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264489160
- Enrollment ID: I20050404000166
Medical Identifiers
Medical identifiers for Dr Paul R Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134154461 | NPI | - | NPPES |
| 3013809 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD15103 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | TN15103 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advanced Diagnostic Imaging Pc | 7315848140 | 547 |
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 Paul R Porter allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Diagnostic Imaging Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677 |
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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. Dr Paul R Porter 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 |
|---|
Dr Paul R Porter, MD
3024 Business Park Cir,
Goodlettsville, TN 37072-3132
Ph: (615) 239-2018 | Dr Paul R Porter, MD
934 S. Broadway, Suite #3,
Portland, TN 37148-1418
Ph: (615) 325-6446 |
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