Brad E Moore, NP - Medicare Nurse Practitioner in Johnson City, TN

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Brad E Moore, NP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice State Of Franklin Healthcare Associates, Pllc and his current practice location is 301 Med Tech Pkwy Ste 240, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 794-5520.

Brad E Moore is licensed to practice in Tennessee (license number 22515) 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 1578094207.

Contact Information

Brad E Moore, NP
301 Med Tech Pkwy Ste 240,
Johnson City, TN 37604-2641
(423) 794-5520
(423) 282-6940

Map and Direction




Provider's Profile

Full NameBrad E Moore
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location301 Med Tech Pkwy Ste 240, Johnson City, 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:
  • Brad E Moore graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1578094207
  • Provider Enumeration Date: 03/24/2017
  • Last Update Date: 05/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6800173097
  • Enrollment ID: I20170425001538

Medical Identifiers

Medical identifiers for Brad E Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578094207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 194218 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 22515 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Franklin Healthcare Associates, Pllc2466346291247

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. Brad E Moore allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101
Entity NameTakoma Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699819003
PECOS PAC ID: 8729189295
Enrollment ID: O20070727000394
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Brad E Moore 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
Brad E Moore, NP
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 479-2457		Brad E Moore, NP
301 Med Tech Pkwy Ste 240,
Johnson City, TN 37604-2641

Ph: (423) 794-5520

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615
Phone: 423-794-5988    Fax: 423-232-8583
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604
Phone: 423-952-5300    Fax: 423-402-8557

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.