Deretsa Perry, NP - Medicare Nurse Practitioner in Johnson City, TN

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Deretsa Perry, NP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. Her current practice location is 310 N State Of Franklin Rd, Suite 400, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 979-6000.

Deretsa Perry is licensed to practice in Tennessee (license number 21518) 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 1881147692.

Contact Information

Deretsa Perry, NP
310 N State Of Franklin Rd, Suite 400,
Johnson City, TN 37604-6008
(423) 979-6000
(423) 979-6011

Map and Direction




Provider's Profile

Full NameDeretsa Perry
GenderFemale
SpecialityNurse Practitioner - Family
Location310 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881147692
  • Provider Enumeration Date: 07/28/2016
  • Last Update Date: 02/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4981991569
  • Enrollment ID: I20160926001040

Medical Identifiers

Medical identifiers for Deretsa Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881147692NPI-NPPES
1881147692MedicaidVA
Q024107MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21518 (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. Deretsa Perry allows following entities to bill medicare on her behalf.
Entity NameAlan Lee Cox
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1003057068
PECOS PAC ID: 4284816067
Enrollment ID: I20110316000027
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 NameKaring Hearts Cardiology, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568760544
PECOS PAC ID: 6608059548
Enrollment ID: O20110330000452
Entity NameMpc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588140503
PECOS PAC ID: 0244576536
Enrollment ID: O20190108000514
Entity NameKaring Hearts Cardiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841895935
PECOS PAC ID: 9436567252
Enrollment ID: O20210415002935

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. Deretsa Perry 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
Deretsa Perry, NP
310 N State Of Franklin Rd, Suite 400,
Johnson City, TN 37604-6008

Ph: (423) 979-6000		Deretsa Perry, NP
310 N State Of Franklin Rd, Suite 400,
Johnson City, TN 37604-6008

Ph: (423) 979-6000

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
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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.