Maylee Grace Miracle, PMHNP-BC in Bristol, TN

Maylee Grace Miracle, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bristol, Tennessee. Her current practice location is 739 Bluff City Hwy Ste 3, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 534-9195.

Maylee Grace Miracle is licensed to practice in Tennessee (license number 34099) 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 1275224594.

Contact Information

	Maylee Grace Miracle, PMHNP-BC
	739 Bluff City Hwy Ste 3, Bristol, TN 37620-4637
	(423) 534-9195
	Not Available

Map and Direction

Provider's Profile

Full Name	Maylee Grace Miracle
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	739 Bluff City Hwy Ste 3, Bristol, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275224594
Provider Enumeration Date: 05/17/2023
Last Update Date: 02/05/2025

Medicare PECOS Information:

PECOS PAC ID: 7416390786
Enrollment ID: I20240205000619

Medical Identifiers

Medical identifiers for Maylee Grace Miracle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275224594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0000245367 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024192489 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	34099 (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. Maylee Grace Miracle allows following entities to bill medicare on her behalf.

Entity Name	Healthy Mind Counseling Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457409898 PECOS PAC ID: 8325093081 Enrollment ID: O20070827000096

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. Maylee Grace Miracle 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
Maylee Grace Miracle, PMHNP-BC 926 W Oakland Ave Ste 202, Johnson City, TN 37604-1445 Ph: (423) 850-1150	Maylee Grace Miracle, PMHNP-BC 739 Bluff City Hwy Ste 3, Bristol, TN 37620-4637 Ph: (423) 534-9195

Reviews and Comments

Nurse Practitioner Nurses in Bristol, TN

Mrs. Kelly Carter Simcox, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Meadow View Rd Ste 3, Bristol, TN 37620 Phone: 423-968-4007 Fax: 423-652-2590
Mrs. Theresa M Kalb, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 Redstone Dr Unit 21, Bristol, TN 37620 Phone: 607-351-1793
Kimi Kay Guffey, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Volunteer Pkwy Ste 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130
Laura Ann Eller, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Shellie Rose Butler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130
Mrs. Jo Anne Roe Viers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620 Phone: 423-844-4975 Fax: 423-844-4987
Mikayla B Duncan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Medical Park Blvd, Bristol, TN 37620 Phone: 423-274-8600 Fax: 423-390-6845

Maylee Grace Miracle, PMHNP-BC - Medicare Nurse Practitioner in Bristol, TN