Dr Kelly D Chumbley, DO - Medicare Emergency Medicine in Kingsport, TN

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Dr Kelly D Chumbley, DO is a medicare enrolled "Emergency Medicine" physician in Kingsport, Tennessee. He went to West Virginia School Of Osteopathic Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tri-cities Regional Emergency Physicians, Pc and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-5109.

Dr Kelly D Chumbley is licensed to practice in Virginia (license number 0102202993) 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 1841243292.

Contact Information

Dr Kelly D Chumbley, DO
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 224-5109
(423) 224-5120

Map and Direction




Physician's Profile

Full NameDr Kelly D Chumbley
GenderMale
SpecialityEmergency Medicine
Experience22 Years
Location130 W Ravine Rd, Kingsport, 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:
  • Dr Kelly D Chumbley attended and graduated from West Virginia School Of Osteopathic Medicine in 2002
  NPI Data:
  • NPI Number: 1841243292
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 01/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991741787
  • Enrollment ID: I20061102000357

Medical Identifiers

Medical identifiers for Dr Kelly D Chumbley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841243292NPI-NPPES
3319838MedicaidTN
3319837MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine DO1771 (Tennessee)Secondary
207P00000XEmergency Medicine 0102202993 (Virginia)Primary
207P00000XEmergency Medicine 34008110 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Healthcare-jefferson Memorial HospitalJefferson city, TNHospital
Newport Medical CenterNewport, TNHospital
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Physicians Regional Medical CenterPowell, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri-cities Regional Emergency Physicians, Pc3678859477127

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 Kelly D Chumbley allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameNortheast Tennessee Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467427138
PECOS PAC ID: 7517911712
Enrollment ID: O20050310000431
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399
Entity NameApp Of East Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326695537
PECOS PAC ID: 6800127796
Enrollment ID: O20191007003318

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 Kelly D Chumbley 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 Kelly D Chumbley, DO
4750 Hempstead Station Dr,
Kettering, OH 45429-5164

Ph: (800) 875-0136		Dr Kelly D Chumbley, DO
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-5109

Reviews and Comments


Emergency Medicine Doctors in Kingsport, TN

Dr. James Henry Burleson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2000 Brookside Dr, Indian Path Hospital, Kingsport, TN 37660
Phone: 423-857-7870    Fax: 423-857-7872
William D Hudson, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37662
Phone: 423-224-4000    
Mrs. Susan Watts Jeansonne, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660
Phone: 423-224-3933    Fax: 423-224-3934
Dr. Jeffrey Stayer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-239-9737    
Dr. Renee May Sayson Miranda, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
Phone: 423-245-9600    Fax: 423-245-9634
William E Devens Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37662
Phone: 423-224-4000    
Dr. Tunga Trishul Reddy, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 Broad St, Suite 410, Kingsport, TN 37660
Phone: 423-747-1240    

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.

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