James W Shine, MD - Medicare Family Practice in Mountain City, TN

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James W Shine, MD is a medicare enrolled "Family Medicine" physician in Mountain City, Tennessee. He went to University Of Alabama School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mountain States Health Alliance and his current practice location is 1901 S Shady St, Mountain City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 727-1103.

James W Shine is licensed to practice in Tennessee (license number MD28372) 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 1194781724.

Contact Information

James W Shine, MD
1901 S Shady St,
Mountain City, TN 37683-2021
(423) 727-1103
(423) 727-1140

Map and Direction




Physician's Profile

Full NameJames W Shine
GenderMale
SpecialityFamily Practice
Experience38 Years
Location1901 S Shady St, Mountain City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James W Shine attended and graduated from University Of Alabama School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1194781724
  • Provider Enumeration Date: 04/22/2006
  • Last Update Date: 02/23/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2567446206
  • Enrollment ID: I20040617001588

Medical Identifiers

Medical identifiers for James W Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194781724NPI-NPPES
3803906MedicaidTN
Q009917MedicaidTN
TN0167OtherTNJOHN DEERE
1194781724MedicaidVA
4062642OtherTNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD28372 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareElizabethton, TNHome health agency
Caris HealthcareJohnson city, TNHospice
Johnson County Community HospitalMountain city, TNHospital
Mountain City Care & Rehabilitation CenterMountain city, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain States Health Alliance600272671821

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. James W Shine allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameMountain States Health Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205846508
PECOS PAC ID: 6002726718
Enrollment ID: O20040415001070

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. James W Shine 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
James W Shine, MD
1901 S Shady St,
Mountain City, TN 37683-2021

Ph: (423) 727-1103		James W Shine, MD
1901 S Shady St,
Mountain City, TN 37683-2021

Ph: (423) 727-1103

Reviews and Comments


Family Medicine Doctors in Mountain City, TN

Cristy Gillespie Lee, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1901 S Shady St, Mountain City, TN 37683
Phone: 423-926-6266    Fax: 423-926-7599
Dr. Floyd James Barker Ii, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 132 W Main St, Mountain City, TN 37683
Phone: 423-727-4561    Fax: 423-727-4556
Henry Renick Hartsoe, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1901 S Shady St, Mountain City, TN 37683
Phone: 423-727-1100    
Susanne Mayer Shine, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1901 S Shady St, Mountain City, TN 37683
Phone: 423-727-1103    Fax: 423-727-1140
Donna F Gibson-hughes, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 251 Sprucey Ln, Mountain City, TN 37683
Phone: 423-727-1621    Fax: 423-727-1621
Heather Newman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 Oak St, Mountain City, TN 37683
Phone: 423-727-6319    Fax: 423-727-4164

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.