Mr Paul Gilley, FNP in Johnson City, TN - Medicare Nurse Practitioner

Mr Paul Gilley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. His current practice location is 403 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-7111.

Mr Paul Gilley is licensed to practice in Tennessee (license number 00000027539) 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 1962016162.

Contact Information

	Mr Paul Gilley, FNP
	403 N State Of Franklin Rd, Johnson City, TN 37604-6034
	(423) 431-7111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Paul Gilley
Gender	Male
Speciality	Nurse Practitioner - Family
Location	403 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962016162
Provider Enumeration Date: 09/04/2020
Last Update Date: 09/04/2020

Medicare PECOS Information:

PECOS PAC ID: 1355753534
Enrollment ID: I20201211000718

Medical Identifiers

Medical identifiers for Mr Paul Gilley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962016162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	00000027539 (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 Paul Gilley allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

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 Paul Gilley 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 Paul Gilley, FNP 1185 W Mountain View Rd Apt 1107, Johnson City, TN 37604-2527 Ph: (615) 957-1275	Mr Paul Gilley, FNP 403 N State Of Franklin Rd, Johnson City, TN 37604-6034 Ph: (423) 431-7111

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 Nurse Practitioner 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 Nurse Practitioner 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

Mr Paul Gilley, FNP - Medicare Nurse Practitioner in Johnson City, TN