John Bradford Lichlyter, MSN, APRN, NP-C, CEN in Johnson City, TN

John Bradford Lichlyter, MSN, APRN, NP-C, CEN is a medicare enrolled "Nurse Practitioner" in Johnson City, Tennessee. His current practice location is 410 N State Of Franklin Rd Ste 130, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-2477.

John Bradford Lichlyter is licensed to practice in Tennessee (license number 34973) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629852900.

Contact Information

	John Bradford Lichlyter, MSN, APRN, NP-C, CEN
	410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604-6972
	(423) 431-2477
	Not Available

Map and Direction

Provider's Profile

Full Name	John Bradford Lichlyter
Gender	Male
Speciality	Nurse Practitioner
Location	410 N State Of Franklin Rd Ste 130, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629852900
Provider Enumeration Date: 08/21/2023
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7719320779
Enrollment ID: I20240206003700

Medical Identifiers

Medical identifiers for John Bradford Lichlyter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629852900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	224266 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	34793 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	34973 (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. John Bradford Lichlyter allows following entities to bill medicare on his behalf.

Entity Name	East Phillips County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891733879 PECOS PAC ID: 9638161615 Enrollment ID: O20040331000584

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. John Bradford Lichlyter 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
John Bradford Lichlyter, MSN, APRN, NP-C, CEN 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	John Bradford Lichlyter, MSN, APRN, NP-C, CEN 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604-6972 Ph: (423) 431-2477

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

John Bradford Lichlyter, MSN, APRN, NP-C, CEN - Medicare Nurse Practitioner in Johnson City, TN