Mr Jedediah A Gilliam, FNP-BC - Medicare Nurse Practitioner in Johnson City, TN

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Mr Jedediah A Gilliam, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. His current practice location is 809 Lamont St, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 926-1171.

Mr Jedediah A Gilliam is licensed to practice in Tennessee (license number 29204) 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 1841873718.

Contact Information

Mr Jedediah A Gilliam, FNP-BC
809 Lamont St,
Johnson City, TN 37604-5453
(423) 926-1171
(423) 979-3685

Map and Direction




Provider's Profile

Full NameMr Jedediah A Gilliam
GenderMale
SpecialityNurse Practitioner - Family
Location809 Lamont St, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841873718
  • Provider Enumeration Date: 04/29/2021
  • Last Update Date: 11/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072903939
  • Enrollment ID: I20211208001017

Medical Identifiers

Medical identifiers for Mr Jedediah A Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841873718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 29204 (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. Mr Jedediah A Gilliam allows following entities to bill medicare on his behalf.
Entity NameUrgent Care Of Erwin, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609158120
PECOS PAC ID: 2860665635
Enrollment ID: O20111024000623

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. Mr Jedediah A Gilliam 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
Mr Jedediah A Gilliam, FNP-BC
216 Timberland Cir,
Kingsport, TN 37664-5359

Ph: (423) 677-5824		Mr Jedediah A Gilliam, FNP-BC
809 Lamont St,
Johnson City, TN 37604-5453

Ph: (423) 926-1171

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
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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
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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

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.