Dr James T Newby Jr, DO - Medicare Family Practice in Ooltewah, TN

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Dr James T Newby Jr, DO is a medicare enrolled "Family Medicine" physician in Ooltewah, Tennessee. He went to West Virginia School Of Osteopathic Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Erlanger Health and his current practice location is 5953 Elementary Way Ste 109, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 778-9174.

Dr James T Newby Jr is licensed to practice in Tennessee (license number 1503) 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 1922083468.

Contact Information

Dr James T Newby Jr, DO
5953 Elementary Way Ste 109,
Ooltewah, TN 37363-3172
(423) 778-9174
(423) 778-9173

Map and Direction




Physician's Profile

Full NameDr James T Newby Jr
GenderMale
SpecialityFamily Practice
Experience25 Years
Location5953 Elementary Way Ste 109, Ooltewah, 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:
  • Dr James T Newby Jr attended and graduated from West Virginia School Of Osteopathic Medicine in 2001
  NPI Data:
  • NPI Number: 1922083468
  • Provider Enumeration Date: 12/07/2005
  • Last Update Date: 11/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244209260
  • Enrollment ID: I20040927001163

Medical Identifiers

Medical identifiers for Dr James T Newby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922083468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1503 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Erlanger Medical CenterChattanooga, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Erlanger Health1153780226439

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. Dr James T Newby Jr allows following entities to bill medicare on his behalf.
Entity NameDx Mso Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225381148
PECOS PAC ID: 7719131101
Enrollment ID: O20130213000017
Entity NameErlanger Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477256303
PECOS PAC ID: 1153780226
Enrollment ID: O20230707000849

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. Dr James T Newby Jr 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
Dr James T Newby Jr, DO
5953 Elementary Way Ste 109,
Ooltewah, TN 37363-3172

Ph: (423) 778-9174		Dr James T Newby Jr, DO
5953 Elementary Way Ste 109,
Ooltewah, TN 37363-3172

Ph: (423) 778-9174

Reviews and Comments


Family Medicine Doctors in Ooltewah, TN

Dr. Oliver Marko Bujak, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9309 Apison Pike, Ooltewah, TN 37363
Phone: 423-551-3562    Fax: 423-551-3563
Dr. William Thurman Bates Iii, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363
Phone: 423-495-5951    Fax: 423-495-5999
Dr. Mark Steven Crago, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363
Phone: 423-495-5951    Fax: 423-495-5999
Dr. James F Carsten, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9309 Apison Pike, Ooltewah, TN 37363
Phone: 423-551-3562    Fax: 423-551-3563
Dr. Carl M Orquia, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363
Phone: 423-495-5951    Fax: 423-495-5999
Dr. James W Hedden, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363
Phone: 423-495-5951    Fax: 423-495-5999
Dr. Kent A Grotefendt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6401 Mountain View Road, Suite 109, Ooltewah, TN 37363
Phone: 423-495-5951    Fax: 423-495-5999

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.