Anthony M Kingsley, FNP - Medicare Nurse Practitioner in Jacksboro, TN

Anthony M Kingsley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksboro, Tennessee. He went to Lincoln Memorial University Medical Department and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Summit Medical Group, Pllc and his current practice location is 2545 Jacksboro Pike, Jacksboro, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 566-8181.

Anthony M Kingsley is licensed to practice in Tennessee (license number 21300) 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 1003267865.

Contact Information

Anthony M Kingsley, FNP
2545 Jacksboro Pike,
Jacksboro, TN 37757-4847
(423) 566-8181
(423) 562-9692

Map and Direction




Provider's Profile

Full NameAnthony M Kingsley
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location2545 Jacksboro Pike, Jacksboro, 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:
  • Anthony M Kingsley attended and graduated from Lincoln Memorial University Medical Department in 2016
  NPI Data:
  • NPI Number: 1003267865
  • Provider Enumeration Date: 06/23/2016
  • Last Update Date: 06/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0547553554
  • Enrollment ID: I20160728002116

Medical Identifiers

Medical identifiers for Anthony M Kingsley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003267865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21300 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lafollette Medical CenterLa follette, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Pllc2860396330515

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. Anthony M Kingsley allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793

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. Anthony M Kingsley 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
Anthony M Kingsley, FNP
1225 E Weisgarber Rd, Suite 200,
Knoxville, TN 37909-2604

Ph: (865) 584-4747
Anthony M Kingsley, FNP
2545 Jacksboro Pike,
Jacksboro, TN 37757-4847

Ph: (423) 566-8181

Reviews and Comments


Nurse Practitioner Nurses in Jacksboro, TN

Stacy Jean Riggs, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757
Phone: 423-562-4149    Fax: 423-566-6929
Katherine Gresham, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    
Amy Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    Fax: 865-567-4722
John Wesley Smiddy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    Fax: 423-567-4722
Jennifer Riley,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    
Mary Kate Moore, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2707 Jacksboro Pike, Suite 1a, Jacksboro, TN 37757
Phone: 423-907-8186    Fax: 423-907-8187

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.