Mrs Beverly Jane Waddell, ANP, GCNS in Kingsport, TN

Mrs Beverly Jane Waddell, ANP, GCNS is a medicare enrolled "Nurse Practitioner - Adult Health" in Kingsport, Tennessee. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holston Medical Group Pc, Holston Medical Group Pc and her current practice location is 105 W Stone Dr, Ste 5c, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 378-7645.

Mrs Beverly Jane Waddell is licensed to practice in Tennessee (license number APN13413) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811161813.

Contact Information

	Mrs Beverly Jane Waddell, ANP, GCNS
	105 W Stone Dr, Ste 5c, Kingsport, TN 37660-3365
	(423) 378-7645
	(423) 392-3863

Map and Direction

Provider's Profile

Full Name	Mrs Beverly Jane Waddell
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	105 W Stone Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Beverly Jane Waddell graduated from nursing school in 2007

NPI Data:

NPI Number: 1811161813
Provider Enumeration Date: 04/22/2008
Last Update Date: 11/18/2014

Medicare PECOS Information:

PECOS PAC ID: 8820161706
Enrollment ID: I20080725000272

Medical Identifiers

Medical identifiers for Mrs Beverly Jane Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811161813	NPI	-	NPPES
1510164	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SG0600X	Clinical Nurse Specialist - Gerontology	13413 (Tennessee)	Secondary
163W00000X	Registered Nurse	RN129155 (Tennessee)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APN13413 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advanced Home Care Inc	Kingsport, TN	Home health agency
Indian Path Community Hospital	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holston Medical Group Pc	8224935754	227
Holston Medical Group Pc	8224935754	227

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. Mrs Beverly Jane Waddell allows following entities to bill medicare on her behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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. Mrs Beverly Jane Waddell 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
Mrs Beverly Jane Waddell, ANP, GCNS Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066	Mrs Beverly Jane Waddell, ANP, GCNS 105 W Stone Dr, Ste 5c, Kingsport, TN 37660-3365 Ph: (423) 378-7645

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

Mrs Beverly Jane Waddell, ANP, GCNS - Medicare Nurse Practitioner in Kingsport, TN