Mr Johnny Wayne Presley, PAC is a medicare enrolled "Physician Assistant - Medical" in Jamestown, Tennessee. His current practice location is
100 S Duncan St, Jamestown, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 879-5864.
Mr Johnny Wayne Presley is licensed to practice in Tennessee (license number PA130) 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 1427069749.
Provider's Profile
| Full Name | Mr Johnny Wayne Presley |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 100 S Duncan St, Jamestown, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427069749
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 09/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173618766
- Enrollment ID: I20091214000050
Medical Identifiers
Medical identifiers for Mr Johnny Wayne Presley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427069749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA130 (Tennessee) | Primary |
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 Wayne Presley 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 Wayne Presley, PAC
Po Box 2861,
Crossville, TN 38557-2861
Ph: (931) 879-5864 | Mr Johnny Wayne Presley, PAC
100 S Duncan St,
Jamestown, TN 38556-3009
Ph: (931) 879-5864 |
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