Richard F Connelly, RNC, FNP is a medicare enrolled "Nurse Practitioner" in Hartford, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rural Medical Services, Inc. and his current practice location is
4261 Big Creek Rd, Hartford, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 487-2249.
Richard F Connelly is licensed to practice in Tennessee (license number APN6635) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043280340.
Provider's Profile
| Full Name | Richard F Connelly |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 30 Years |
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| Location | 4261 Big Creek Rd, Hartford, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Richard F Connelly attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1994
NPI Data:
- NPI Number: 1043280340
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 02/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 4183817018
- Enrollment ID: I20101022001015
Medical Identifiers
Medical identifiers for Richard F Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043280340 | NPI | - | NPPES |
| 100011036 | Other | TN | PHP TENNCARE |
| 3073336 | Other | TN | BLUECARE-C.HILL |
| 3348042 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN90651 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | APN6635 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rural Medical Services, Inc. | 1456384080 | 18 |
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. Richard F Connelly allows following entities to bill medicare on his behalf.
| Entity Name | Rural Medical Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962443697
PECOS PAC ID: 1456384080
Enrollment ID: O20050914001081 |
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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. Richard F Connelly 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 |
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Richard F Connelly, RNC, FNP
4261 Big Creek Rd,
Hartford, TN 37753-2220
Ph: (423) 487-2249 | Richard F Connelly, RNC, FNP
4261 Big Creek Rd,
Hartford, TN 37753-2220
Ph: (423) 487-2249 |
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