Mrs Haley Elizabeth Elliott, NP in Johnson City, TN

Mrs Haley Elizabeth Elliott, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Johnson City, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Ridge Medical Management Corporation and her current practice location is 403 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-7014.

Mrs Haley Elizabeth Elliott is licensed to practice in Tennessee (license number 27410) 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 1942847694.

Contact Information

	Mrs Haley Elizabeth Elliott, NP
	403 N State Of Franklin Rd, Johnson City, TN 37604-6034
	(423) 431-7014
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Haley Elizabeth Elliott
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	403 N State Of Franklin Rd, Johnson City, 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 Haley Elizabeth Elliott attended and graduated from East Tennessee State University Quillen College Of Medicine in 2020

NPI Data:

NPI Number: 1942847694
Provider Enumeration Date: 12/02/2019
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2961820600
Enrollment ID: I20200914000475

Medical Identifiers

Medical identifiers for Mrs Haley Elizabeth Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942847694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	205219 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	27410 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson City Medical Center	Johnson city, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Ridge Medical Management Corporation	9739099441	280

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 Haley Elizabeth Elliott allows following entities to bill medicare on her 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

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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 Haley Elizabeth Elliott 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 Haley Elizabeth Elliott, NP 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Mrs Haley Elizabeth Elliott, NP 403 N State Of Franklin Rd, Johnson City, TN 37604-6034 Ph: (423) 431-7014

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

Mrs Haley Elizabeth Elliott, NP - Medicare Nurse Practitioner in Johnson City, TN