John R Hereford, MD in Kingsport, TN - Medicare Obstetrics/gynecology

John R Hereford, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Kingsport, Tennessee. He went to University Of Louisville School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice State Of Franklin Healthcare Associates, Pllc and his current practice location is 2002 Brookside Dr Ste 300, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 530-7900.

John R Hereford is licensed to practice in Tennessee (license number MD15919) 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 1619931557.

Contact Information

	John R Hereford, MD
	2002 Brookside Dr Ste 300, Kingsport, TN 37660-4634
	(423) 530-7900
	(423) 530-7901

Map and Direction

Physician's Profile

Full Name	John R Hereford
Gender	Male
Speciality	Obstetrics/gynecology
Experience	45 Years
Location	2002 Brookside Dr Ste 300, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John R Hereford attended and graduated from University Of Louisville School Of Medicine in 1979

NPI Data:

NPI Number: 1619931557
Provider Enumeration Date: 04/17/2006
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 3072615178
Enrollment ID: I20070220000522

Medical Identifiers

Medical identifiers for John R Hereford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619931557	NPI	-	NPPES
1619931557	Medicaid	VA
7100045670	Medicaid	KY
3011101	Medicaid	TN
3011104	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD15919 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson City Medical Center	Johnson city, TN	Hospital
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Franklin Healthcare Associates, Pllc	2466346291	247

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. John R Hereford allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Medical Education Assistance Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795

Entity Name	State Of Franklin Healthcare Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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. John R Hereford 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
John R Hereford, MD Po Box 3889, Johnson City, TN 37602-3889 Ph: (423) 530-7900	John R Hereford, MD 2002 Brookside Dr Ste 300, Kingsport, TN 37660-4634 Ph: (423) 530-7900

Reviews and Comments

Obstetrics & Gynecology Doctors in Kingsport, TN

Dr. Scott Fowler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 2b, Kingsport, TN 37660 Phone: 423-247-7500 Fax: 423-245-4679
Judith P. Fischer, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: One Sheridan Square, Suite 105, Kingsport, TN 37660 Phone: 423-427-4201 Fax: 423-247-5470
Dr. James P Beckner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Suite 3a, Kingsport, TN 37660 Phone: 423-224-3220 Fax: 423-224-3233
Dr. Sheldon H Fisher, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2002 Brookside Dr, Ste 300, Kingsport, TN 37660 Phone: 423-392-6370 Fax: 423-392-6736
Dr. Mark L Withrow, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 5d, Kingsport, TN 37660 Phone: 423-247-7500 Fax: 423-247-7556
Dr. Dennis Charles Desimone, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 204, Kingsport, TN 37660 Phone: 423-245-1040
Dr. Robert Saunders, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Ste 3a, Kingsport, TN 37660 Phone: 423-224-3220 Fax: 423-224-3233

John R Hereford, MD - Medicare Obstetrics/gynecology in Kingsport, TN