Mr Johnny Dwayne Fraley, FNP in Kingsport, TN

Mr Johnny Dwayne Fraley, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Kingsport, Tennessee. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellmont Cardiology Services, Wellmont Cardiology Services, Wellmont Medical Associates Inc and his current practice location is 1905 American Way, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-4000.

Mr Johnny Dwayne Fraley is licensed to practice in Virginia (license number 0024179740) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427666460.

Contact Information

	Mr Johnny Dwayne Fraley, FNP
	1905 American Way, Kingsport, TN 37660-5882
	(423) 224-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Johnny Dwayne Fraley
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1905 American Way, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Johnny Dwayne Fraley graduated from nursing school in 2020

NPI Data:

NPI Number: 1427666460
Provider Enumeration Date: 07/15/2020
Last Update Date: 07/15/2020

Medicare PECOS Information:

PECOS PAC ID: 8628029063
Enrollment ID: I20200911002704

Medical Identifiers

Medical identifiers for Mr Johnny Dwayne Fraley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427666460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	0024179740 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Lonesome Pine Hospital	Big stone gap, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellmont Cardiology Services	5799970281	119
Wellmont Cardiology Services	5799970281	119
Wellmont Medical Associates Inc	8123291739	426

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 Johnny Dwayne Fraley allows following entities to bill medicare on his behalf.

Entity Name	Wellmont Cardiology Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376575035 PECOS PAC ID: 5799970281 Enrollment ID: O20101110000334

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467

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 Johnny Dwayne Fraley 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 Johnny Dwayne Fraley, FNP 112 Sheffield Ln, Gate City, VA 24251-5707 Ph: (276) 696-1539	Mr Johnny Dwayne Fraley, FNP 1905 American Way, Kingsport, TN 37660-5882 Ph: (423) 224-4000

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Mr Johnny Dwayne Fraley, FNP - Medicare Nurse Practitioner in Kingsport, TN