Roger Dwayne Shockey Sr, FNP in Johnson City, TN

Roger Dwayne Shockey Sr, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Presbyterian Healthcare Services, Community Medical Associates Inc and his current practice location is 400 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-6111.

Roger Dwayne Shockey Sr is licensed to practice in Tennessee (license number APN0000022052) 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 1992240808.

Contact Information

	Roger Dwayne Shockey Sr, FNP
	400 N State Of Franklin Rd, Johnson City, TN 37604-6035
	(423) 431-6111
	Not Available

Map and Direction

Provider's Profile

Full Name	Roger Dwayne Shockey Sr
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	400 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Roger Dwayne Shockey Sr graduated from nursing school in 2016

NPI Data:

NPI Number: 1992240808
Provider Enumeration Date: 01/01/2017
Last Update Date: 01/01/2017

Medicare PECOS Information:

PECOS PAC ID: 7012292048
Enrollment ID: I20230712000014

Medical Identifiers

Medical identifiers for Roger Dwayne Shockey Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992240808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN0000022052 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Presbyterian Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Presbyterian Healthcare Services	9234041708	1119
Community Medical Associates Inc	7012811284	1179

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. Roger Dwayne Shockey Sr allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

Entity Name	Emergency Staffing Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20070724000197

Entity Name	Ess Hospitalist Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120718000719

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. Roger Dwayne Shockey Sr 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
Roger Dwayne Shockey Sr, FNP 828 Winchester Dr, Greeneville, TN 37743-6050 Ph: (423) 620-4558	Roger Dwayne Shockey Sr, FNP 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 431-6111

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

Roger Dwayne Shockey Sr, FNP - Medicare Nurse Practitioner in Johnson City, TN