John R Staley Jr, MD in Harriman, TN - Medicare Emergency Medicine

John R Staley Jr, MD is a medicare enrolled "Emergency Medicine" physician in Harriman, Tennessee. His current practice location is 412 Devonia St, Harriman, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 882-1323.

John R Staley Jr is licensed to practice in Tennessee (license number 013010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700815396.

Contact Information

	John R Staley Jr, MD
	412 Devonia St, Harriman, TN 37748-2009
	(865) 882-1323
	(865) 291-3228

Map and Direction

Physician's Profile

Full Name	John R Staley Jr
Gender	Male
Speciality	Emergency Medicine
Location	412 Devonia St, Harriman, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700815396
Provider Enumeration Date: 07/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7012802630
Enrollment ID: I20051004000359

Medical Identifiers

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

Identifier	Type	State	Issuer
1700815396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	013010 (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. John R Staley Jr allows following entities to bill medicare on his behalf.

Entity Name	Emergency Coverage Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666

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 Staley Jr 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 Staley Jr, MD 2202 Lyons Bend Rd, Knoxville, TN 37919-8930 Ph: () -	John R Staley Jr, MD 412 Devonia St, Harriman, TN 37748-2009 Ph: (865) 882-1323

Reviews and Comments

Emergency Medicine Doctors in Harriman, TN

Jennifer Mchardy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8045 Roane Medical Center Dr, Harriman, TN 37748 Phone: 865-316-1000
Bennie W Whitehead, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 Fax: 865-291-3228
Douglas M Batchelor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 Fax: 865-291-3228
Dr. Mirza E Morales-diaz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 412 Devonia St, Roane Medical Center, Harriman, TN 37748 Phone: 865-985-7234 Fax: 865-291-3224
Charles Brooks, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323
William J Black, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 Fax: 865-291-3228

John R Staley Jr, MD - Medicare Emergency Medicine in Harriman, TN