Raven Michelle Heatherly, NP-C in Oak Ridge, TN

Raven Michelle Heatherly, NP-C is a medicare enrolled "Nurse Practitioner" in Oak Ridge, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Knoxville Hma Physician Management, Llc and her current practice location is 90 Vermont Ave Ste 300, Oak Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 481-2541.

Raven Michelle Heatherly is licensed to practice in Tennessee (license number 23818) 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 1417456203.

Contact Information

	Raven Michelle Heatherly, NP-C
	90 Vermont Ave Ste 300, Oak Ridge, TN 37830
	(865) 481-2541
	(865) 483-8151

Map and Direction

Provider's Profile

Full Name	Raven Michelle Heatherly
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	90 Vermont Ave Ste 300, Oak Ridge, 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:

Raven Michelle Heatherly attended and graduated from Lincoln Memorial University Medical Department in 2017

NPI Data:

NPI Number: 1417456203
Provider Enumeration Date: 02/07/2018
Last Update Date: 08/08/2018

Medicare PECOS Information:

PECOS PAC ID: 9931457231
Enrollment ID: I20180802001717

Medical Identifiers

Medical identifiers for Raven Michelle Heatherly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417456203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	23818 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Physicians Regional Medical Center	Powell, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Knoxville Hma Physician Management, Llc	6103097316	98

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. Raven Michelle Heatherly allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

Entity Name	Knoxville Hma Physician Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629356969 PECOS PAC ID: 6103097316 Enrollment ID: O20110920000526

Entity Name	Eastlake Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467992446 PECOS PAC ID: 6901174788 Enrollment ID: O20170620001620

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. Raven Michelle Heatherly 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
Raven Michelle Heatherly, NP-C 256 Fort Sanders West Blvd Ste 200, Knoxville, TN 37922-3355 Ph: (865) 769-4500	Raven Michelle Heatherly, NP-C 90 Vermont Ave Ste 300, Oak Ridge, TN 37830 Ph: (865) 481-2541

Reviews and Comments

Nurse Practitioner Nurses in Oak Ridge, TN

Mrs. Jessica Lynn Hamby, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Vermont Ave, Oak Ridge, TN 37830 Phone: 865-482-4078
Kimberly R Smith, MSN, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-483-6343 Fax: 865-483-1185
Laura A Cutler, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Vermont Ave, Oak Ridge, TN 37830 Phone: 865-482-4078 Fax: 865-482-4960
Mrs. Jocelyn Rebeccah Chermak, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 New York Ave Ste 200, Oak Ridge, TN 37830 Phone: 865-835-5400
Patricia J Myers, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-483-3172
Mr. Gordon Scott Shafer, FNP-C, OPA-C, CSA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 E Division Rd, Oak Ridge, TN 37830 Phone: 865-483-3904
Ms. Gayle A Cole, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 944 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-835-3810 Fax: 865-835-3811

Raven Michelle Heatherly, NP-C - Medicare Nurse Practitioner in Oak Ridge, TN