Patricia J Conner, MD is a medicare enrolled "Family Medicine" physician in Parrottsville, Tennessee. Her current practice location is
111 Mockingbird Ave, Parrottsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 625-1170.
Patricia J Conner is licensed to practice in Tennessee (license number MD41976) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053431973.
Physician's Profile
| Full Name | Patricia J Conner |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 111 Mockingbird Ave, Parrottsville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053431973
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 06/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 2961593736
- Enrollment ID: I20070808000389
Medical Identifiers
Medical identifiers for Patricia J Conner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053431973 | NPI | - | NPPES |
| 30002664 | Medicaid | TN | |
| 4156963 | Other | TN | BCBST |
| 4156961 | Other | TN | BCBST |
| 30002661 | Medicaid | TN | |
| 30002662 | Medicaid | TN | |
| 4156962 | Other | TN | BCBST |
| 4156943 | Other | TN | BCBST |
| 3000266 | Medicaid | TN | |
| 30002663 | Medicaid | TN | |
| 4156964 | Other | TN | BCBST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD41976 (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. Patricia J Conner allows following entities to bill medicare on her behalf.
| Entity Name | Rural Medical Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962443697
PECOS PAC ID: 1456384080
Enrollment ID: O20050914001081 |
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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. Patricia J Conner 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 |
|---|
Patricia J Conner, MD
208 Medical Park Blvd,
Bristol, TN 37620-7343
Ph: (423) 989-4050 | Patricia J Conner, MD
111 Mockingbird Ave,
Parrottsville, TN 37843
Ph: (423) 625-1170 |
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