Penny Stanley, in Bristol, TN - Medicare Nurse Practitioner

Penny Stanley, is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Physician Services Pc and her current practice location is 1 Medical Park Blvd, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-1480.

Penny Stanley is licensed to practice in Virginia (license number 0001257066) 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 1881106110.

Contact Information

	Penny Stanley,
	1 Medical Park Blvd, Bristol, TN 37620-7430
	(423) 282-1480
	(423) 928-1353

Map and Direction

Provider's Profile

Full Name	Penny Stanley
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1 Medical Park Blvd, Bristol, 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:

Penny Stanley graduated from nursing school in 2017

NPI Data:

NPI Number: 1881106110
Provider Enumeration Date: 10/26/2017
Last Update Date: 10/26/2017

Medicare PECOS Information:

PECOS PAC ID: 7911252184
Enrollment ID: I20180613000278

Medical Identifiers

Medical identifiers for Penny Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881106110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0001257066 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	499

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. Penny Stanley allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

Entity Name	Ipc Pac Healthcare Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541

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. Penny Stanley 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
Penny Stanley, Po Box 4018, Johnson City, TN 37602-4018 Ph: (423) 282-1480	Penny Stanley, 1 Medical Park Blvd, Bristol, TN 37620-7430 Ph: (423) 282-1480

Reviews and Comments

Nurse Practitioner Nurses in Bristol, TN

Mrs. Kelly Carter Simcox, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Midway Medical Park, Bristol, TN 37620 Phone: 423-844-6515 Fax: 423-652-2590
Mrs. Theresa M Kalb, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 Redstone Dr Unit 21, Bristol, TN 37620 Phone: 607-351-1793
Kimi Kay Guffey, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Volunteer Pkwy Ste 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130
Laura Ann Eller, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2298 Highway 126, Bristol, TN 37620 Phone: 307-371-1381
Shellie Rose Butler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130
Mrs. Jo Anne Roe Viers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620 Phone: 423-844-4975 Fax: 423-844-4987
Mikayla B Duncan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Medical Park Blvd, Bristol, TN 37620 Phone: 423-274-8600 Fax: 423-390-6845

Penny Stanley, - Medicare Nurse Practitioner in Bristol, TN