Samuel B Bayless, FNP - Medicare Nurse Practitioner in Harrogate, TN

Samuel B Bayless, FNP is a medicare enrolled "Nurse Practitioner - Family" in Harrogate, Tennessee. He went to Lincoln Memorial University Medical Department and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Harrogate Health Group Llc and his current practice location is 6650 Cumberland Gap Pkwy, Harrogate, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 441-8011.

Samuel B Bayless is licensed to practice in Tennessee (license number 16500) 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 1952674194.

Contact Information

Samuel B Bayless, FNP
6650 Cumberland Gap Pkwy,
Harrogate, TN 37752-8012
(423) 441-8011
(423) 441-8014

Map and Direction




Provider's Profile

Full NameSamuel B Bayless
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location6650 Cumberland Gap Pkwy, Harrogate, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel B Bayless attended and graduated from Lincoln Memorial University Medical Department in 2011
  NPI Data:
  • NPI Number: 1952674194
  • Provider Enumeration Date: 02/20/2012
  • Last Update Date: 11/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517128309
  • Enrollment ID: I20130129000218

Medical Identifiers

Medical identifiers for Samuel B Bayless such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952674194NPI-NPPES
7100228590MedicaidKY
1527867MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 16500 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareMiddlesboro, KYHome health agency
Middlesboro Arh HospitalMiddlesboro, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harrogate Health Group Llc48809034344

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. Samuel B Bayless allows following entities to bill medicare on his behalf.
Entity NameHo Medical & Chiropractic Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487667770
PECOS PAC ID: 8426949959
Enrollment ID: O20040505001764

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. Samuel B Bayless 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 AddressPractice Location Address
Samuel B Bayless, FNP
6650 Cumberland Gap Pkwy,
Harrogate, TN 37752-8012

Ph: (423) 441-8011
Samuel B Bayless, FNP
6650 Cumberland Gap Pkwy,
Harrogate, TN 37752-8012

Ph: (423) 441-8011

Reviews and Comments


Nurse Practitioner Nurses in Harrogate, TN

Amanda G Brown, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6976 Cumberland Gap Pkwy, Harrogate, TN 37752
Phone: 423-869-3332    Fax: 423-869-3332
Pamela Deann Bays, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 169 Westmoreland St, Harrogate, TN 37752
Phone: 423-869-3700    
Malinda Kaye Munsey, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6650 Cumberland Gap Pkwy, Harrogate, TN 37752
Phone: 423-441-8011    Fax: 423-441-8014
Corey E Payne, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 389 Forge Ridge Rd, Harrogate, TN 37752
Phone: 423-869-5893    Fax: 423-869-3574
Tracie Herrell, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 159 Piccadilly Ave, Harrogate, TN 37752
Phone: 865-368-8602    
Emily Charles,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 163 Beech St, Harrogate, TN 37752
Phone: 865-392-3400    Fax: 865-392-3449
Mrs. Sherri J Robertson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6650 Cumberland Gap Pkwy, Harrogate, TN 37752
Phone: 865-585-2452    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.