Holly Renee Broadwater, FNP in Johnson City, TN

Holly Renee Broadwater, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Medicine Associates, P.c. and her current practice location is 101 Med Tech Pkwy, Suite 200, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 232-6120.

Holly Renee Broadwater is licensed to practice in Tennessee (license number 7703) 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 1134164205.

Contact Information

	Holly Renee Broadwater, FNP
	101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007
	(423) 232-6120
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Renee Broadwater
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	101 Med Tech Pkwy, Johnson City, 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:

Holly Renee Broadwater graduated from nursing school in 2002

NPI Data:

NPI Number: 1134164205
Provider Enumeration Date: 06/20/2006
Last Update Date: 01/12/2024

Medicare PECOS Information:

PECOS PAC ID: 4789583899
Enrollment ID: I20040107000961

Medical Identifiers

Medical identifiers for Holly Renee Broadwater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134164205	NPI	-	NPPES
4078380	Other	TN	BLUE CROSS/BLUE SHIELD
P00102426	Other	TN	MEDICARE RAILROAD
1512908	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7703 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain Medicine Associates, P.c.	6901702216	17

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. Holly Renee Broadwater allows following entities to bill medicare on her behalf.

Entity Name	Pain Medicine Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477594364 PECOS PAC ID: 6901702216 Enrollment ID: O20040907001347

Entity Name	Specialist In Pain Management Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447203922 PECOS PAC ID: 1355253659 Enrollment ID: O20041022000859

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. Holly Renee Broadwater 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
Holly Renee Broadwater, FNP 101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001 Ph: (423) 232-6120	Holly Renee Broadwater, FNP 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 Ph: (423) 232-6120

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

Holly Renee Broadwater, FNP - Medicare Nurse Practitioner in Johnson City, TN