Kelly G Mcqueen, DO - Medicare Family Practice in Kingsport, TN

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Kelly G Mcqueen, DO is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Holston Medical Group Pc and her current practice location is 2204 Pavilion Dr, Suite 310, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3900.

Kelly G Mcqueen is licensed to practice in Tennessee (license number 1209) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306807979.

Contact Information

Kelly G Mcqueen, DO
2204 Pavilion Dr, Suite 310,
Kingsport, TN 37660-4657
(423) 224-3900
(423) 224-3901

Map and Direction




Physician's Profile

Full NameKelly G Mcqueen
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location2204 Pavilion Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly G Mcqueen attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1994
  NPI Data:
  • NPI Number: 1306807979
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345256871
  • Enrollment ID: I20060221000712

Medical Identifiers

Medical identifiers for Kelly G Mcqueen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306807979NPI-NPPES
1306807979MedicaidVA
1509015MedicaidTN
P00878625OtherTNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0102203973 (Virginia)Secondary
207Q00000XFamily Medicine 1209 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holston Medical Group Pc8224935754221

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. Kelly G Mcqueen allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416
Entity NameMaury Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861479545
PECOS PAC ID: 4688569718
Enrollment ID: O20040330001709

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. Kelly G Mcqueen 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
Kelly G Mcqueen, DO
276 Fieldstone Dr,
Jonesville, VA 24263-1215

Ph: (423) 224-3900		Kelly G Mcqueen, DO
2204 Pavilion Dr, Suite 310,
Kingsport, TN 37660-4657

Ph: (423) 224-3900

Reviews and Comments


Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663
Phone: 423-239-5141    Fax: 423-239-4869
Douglas J. Rose, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
Phone: 423-245-9600    Fax: 423-245-9634
Dr. Chad Bates, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660
Phone: 423-857-2260    
Dr. Edward Monty Stirman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-323-6200    Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7000    
Jerry Miller, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-392-6200    
Ms. Lesley Ann Jones, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660
Phone: 423-247-0462    Fax: 423-247-0465

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.