Mr Joe Taylor Pendergrass, RN in Bristol, TN - Medicare Nurse Anesthetist, Certified Registered

Mr Joe Taylor Pendergrass, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bristol, Tennessee. His current practice location is 804 Bristol Caverns Hwy, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 534-6322.

Mr Joe Taylor Pendergrass is licensed to practice in Tennessee (license number 36044) 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 1124725692.

Contact Information

	Mr Joe Taylor Pendergrass, RN
	804 Bristol Caverns Hwy, Bristol, TN 37620-9456
	(423) 534-6322
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Joe Taylor Pendergrass
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	804 Bristol Caverns Hwy, 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: 1124725692
Provider Enumeration Date: 02/14/2023
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 4880035492
Enrollment ID: I20240514003089

Medical Identifiers

Medical identifiers for Mr Joe Taylor Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124725692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	222207 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	36044 (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 Joe Taylor Pendergrass allows following entities to bill medicare on his behalf.

Entity Name	Paragon Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626

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 Joe Taylor Pendergrass 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
Mr Joe Taylor Pendergrass, RN 804 Bristol Caverns Hwy, Bristol, TN 37620-9456 Ph: (423) 534-6322	Mr Joe Taylor Pendergrass, RN 804 Bristol Caverns Hwy, Bristol, TN 37620-9456 Ph: (423) 534-6322

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bristol, TN

Cassondra Nichole Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-2686 Fax: 423-844-2688
Saralee A Bailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 236 Alhambra Dr, Bristol, TN 37620 Phone: 423-383-8395
Robert R Herndon, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Rolf H Jarnes, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Donovan Dean Wilson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Jennifer Elaine Mays, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-2686 Fax: 423-844-2688
Amanda Suzanne Gaither, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Blountville Hwy, Suite 207, Bristol, TN 37620 Phone: 423-968-4540 Fax: 423-968-5697

Mr Joe Taylor Pendergrass, RN - Medicare Nurse Anesthetist, Certified Registered in Bristol, TN