Leslie Trivett Maclucas, APRN - Medicare Nurse Practitioner in Kingsport, TN

Leslie Trivett Maclucas, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kingsport, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sbh-kingsport and her current practice location is 1025 Executive Park Blvd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 830-8110.

Leslie Trivett Maclucas is licensed to practice in Tennessee (license number 28014) 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 1063021087.

Contact Information

Leslie Trivett Maclucas, APRN
1025 Executive Park Blvd,
Kingsport, TN 37660-4620
(423) 830-8110
Not Available

Map and Direction




Provider's Profile

Full NameLeslie Trivett Maclucas
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1025 Executive Park Blvd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leslie Trivett Maclucas attended and graduated from East Tennessee State University Quillen College Of Medicine in 2020
  NPI Data:
  • NPI Number: 1063021087
  • Provider Enumeration Date: 07/27/2020
  • Last Update Date: 04/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254759988
  • Enrollment ID: I20200914000371

Medical Identifiers

Medical identifiers for Leslie Trivett Maclucas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063021087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 28014 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sbh-kingsport83253992569

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. Leslie Trivett Maclucas allows following entities to bill medicare on her behalf.
Entity NameMedpsych Inc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962828137
PECOS PAC ID: 2264655877
Enrollment ID: O20140529002275
Entity NameSbh-kingsport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174038749
PECOS PAC ID: 8325399256
Enrollment ID: O20190725001314

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. Leslie Trivett Maclucas 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
Leslie Trivett Maclucas, APRN
1025 Executive Park Blvd,
Kingsport, TN 37660-4620

Ph: (423) 830-8110
Leslie Trivett Maclucas, APRN
1025 Executive Park Blvd,
Kingsport, TN 37660-4620

Ph: (423) 830-8110

Reviews and Comments


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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.