James R Herman, MD - Medicare Urology in Kingsport, TN

James R Herman, MD is a medicare enrolled "Urology" physician in Kingsport, Tennessee. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Urology. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 822 Broad St, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 246-6251.

James R Herman is licensed to practice in Tennessee (license number M00000035883) 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 1538166657.

Contact Information

James R Herman, MD
822 Broad St,
Kingsport, TN 37660-3718
(423) 246-6251
(423) 246-7230

Map and Direction




Physician's Profile

Full NameJames R Herman
GenderMale
SpecialityUrology
Experience31 Years
Location822 Broad St, Kingsport, 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:
  • James R Herman graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1538166657
  • Provider Enumeration Date: 07/05/2005
  • Last Update Date: 08/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325045586
  • Enrollment ID: I20211005001397

Medical Identifiers

Medical identifiers for James R Herman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538166657NPI-NPPES
3371556MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 34677 (Kentucky)Secondary
208800000XUrology M00000035883 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Oconee Memorial HospitalSeneca, SCHospital
Prisma Health Greenville Memorial HospitalGreenville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832201

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. James R Herman allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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. James R Herman 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
James R Herman, MD
822 Broad St,
Kingsport, TN 37660-3718

Ph: (423) 246-6251
James R Herman, MD
822 Broad St,
Kingsport, TN 37660-3718

Ph: (423) 246-6251

Reviews and Comments


Urology Doctors in Kingsport, TN

Dr. Anthony Lee Broglio, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
C Mack Patton, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
Shenelle Wilson,
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660
Phone: 423-246-4155    
Jim R Littlejohn, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
Hugh M. Sullivan,
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
Grant D Taylor, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660
Phone: 423-246-4155    
Dr. Charles E Payne, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1932 Brookside Drive, Kingsport, TN 37660
Phone: 423-246-4155    Fax: 423-246-7169

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.