Kimberly D Roller, MD in Kingsport, TN - Medicare Family Practice

Kimberly D Roller, MD is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice State Of Franklin Healthcare Associates, Pllc and her current practice location is 1242 W Shipley Ferry Rd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 239-7300.

Kimberly D Roller is licensed to practice in Tennessee (license number 50121) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457544868.

Contact Information

	Kimberly D Roller, MD
	1242 W Shipley Ferry Rd, Kingsport, TN 37663-3323
	(423) 239-7300
	(423) 239-7607

Map and Direction

Physician's Profile

Full Name	Kimberly D Roller
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	1242 W Shipley Ferry Rd, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly D Roller graduated from medical school in 2006

NPI Data:

NPI Number: 1457544868
Provider Enumeration Date: 08/20/2007
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0345306585
Enrollment ID: I20130829000309

Medical Identifiers

Medical identifiers for Kimberly D Roller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457544868	NPI	-	NPPES
1515804	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101244717 (Virginia)	Secondary
207Q00000X	Family Medicine	50121 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Johnson city, TN	Home health agency
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Indian Path Community Hospital	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. Kimberly D Roller allows following entities to bill medicare on her behalf.

Entity Name	Mountain Region Family Medicine P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467565804 PECOS PAC ID: 5890699961 Enrollment ID: O20031120000676

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

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. Kimberly D Roller 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
Kimberly D Roller, MD Po Box 3889, Johnson City, TN 37602-3889 Ph: (423) 794-2457	Kimberly D Roller, MD 1242 W Shipley Ferry Rd, Kingsport, TN 37663-3323 Ph: (423) 239-7300

Reviews and Comments

Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663 Phone: 423-239-5141 Fax: 423-239-4869
Douglas J. Rose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634
Dr. Chad Bates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660 Phone: 423-857-2260
Dr. Edward Monty Stirman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-323-6200 Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
Jerry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-392-6200
Ms. Lesley Ann Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660 Phone: 423-247-0462 Fax: 423-247-0465

Kimberly D Roller, MD - Medicare Family Practice in Kingsport, TN