Kevin Charles Conley, - Medicare Nurse Practitioner in Mountain Home, TN

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Kevin Charles Conley, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mountain Home, Tennessee. His current practice location is 8 Dogwood Lane, Mountain Home, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 926-1171.

Kevin Charles Conley is licensed to practice in Tennessee (license number 30041) 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 1063170363.

Contact Information

Kevin Charles Conley,
8 Dogwood Lane,
Mountain Home, TN 37684
(423) 926-1171
Not Available

Map and Direction




Provider's Profile

Full NameKevin Charles Conley
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8 Dogwood Lane, Mountain Home, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063170363
  • Provider Enumeration Date: 12/03/2021
  • Last Update Date: 12/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375915242
  • Enrollment ID: I20240917001883

Medical Identifiers

Medical identifiers for Kevin Charles Conley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063170363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 30041 (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. Kevin Charles Conley allows following entities to bill medicare on his behalf.
Entity NameUplift Behavioral Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629740410
PECOS PAC ID: 4688057086
Enrollment ID: O20220902001712

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. Kevin Charles Conley 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
Kevin Charles Conley,
101 Santa Fe Dr,
Bristol, TN 37620-6439

Ph: (423) 534-2182		Kevin Charles Conley,
8 Dogwood Lane,
Mountain Home, TN 37684

Ph: (423) 926-1171

Reviews and Comments


Nurse Practitioner Nurses in Mountain Home, TN

Callie Crockett,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Lamont Street And Veterans Way, Mountain Home, TN 37684
Phone: 423-926-1171    
Tawny Leigh Booher-hale, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 99 Veterans Way, Building 160, Mountain Home, TN 37684
Phone: 423-926-1171    Fax: 423-979-3591
Emily Danielle Wilson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Sydney And Lamont, Attn: Extended Care, Mountain Home, TN 37684
Phone: 423-926-1171    
Rebecca Snyder Moss, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Dogwood Ave, Building 160, Mountain Home, TN 37684
Phone: 423-926-1171    
Alysa C Werkheiser-quillen, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Sidney And Lamont Streets, Mountain Home, TN 37684
Phone: 423-926-1171    
Mr. Gerald Steven Meredith, PMH-NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: James H. Quillen/vamc, Corner Of Sidney And Lamont, Mountain Home, TN 37684
Phone: 423-926-1171    Fax: 423-979-3529

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.