Mrs Susan Watts Jeansonne, MD in Kingsport, TN

Mrs Susan Watts Jeansonne, MD is a medicare enrolled "Pediatrics" physician in Kingsport, Tennessee. Her current practice location is 2002 Brookside Dr, Suite 200, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3933.

Mrs Susan Watts Jeansonne is licensed to practice in Tennessee (license number 40530) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114913365.

Contact Information

	Mrs Susan Watts Jeansonne, MD
	2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634
	(423) 224-3933
	(423) 224-3934

Map and Direction

Physician's Profile

Full Name	Mrs Susan Watts Jeansonne
Gender	Female
Speciality	Pediatrics
Location	2002 Brookside Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114913365
Provider Enumeration Date: 09/23/2005
Last Update Date: 02/10/2017

Medicare PECOS Information:

PECOS PAC ID: 1759307333
Enrollment ID: I20051022000197

Medical Identifiers

Medical identifiers for Mrs Susan Watts Jeansonne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114913365	NPI	-	NPPES
1508394	Medicaid	TN
1114913365	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	40530 (Tennessee)	Secondary
208000000X	Pediatrics	MD025360 (Louisiana)	Secondary
208000000X	Pediatrics	40530 (Tennessee)	Primary

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. Mrs Susan Watts Jeansonne allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Appalachian Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689985863 PECOS PAC ID: 6901099639 Enrollment ID: O20101026000515

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. Mrs Susan Watts Jeansonne 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
Mrs Susan Watts Jeansonne, MD 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 Ph: (423) 224-3933	Mrs Susan Watts Jeansonne, MD 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 Ph: (423) 224-3933

Reviews and Comments

Pediatrics Doctors in Kingsport, TN

Mrs. Michelle R Estes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934
Dr. Sarah Nichols, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 210, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934
Dr. Jennifer A Rose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Hanover Ct, Kingsport, TN 37660 Phone: 423-361-2014
Dr. Brittney R Terry, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 Brookside Dr Ste 200, Kingsport, TN 37660 Phone: 423-530-7970 Fax: 423-530-7971
Arthur Garrett, MD PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 N John B Dennis Pkwy, Kingsport, TN 37660 Phone: 423-392-6700
Pius James A. Powers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Wellmont Holston Valley Medical Center, Kingsport, TN 37660 Phone: 423-246-3220 Fax: 423-246-3221
Dr. Frank Fischer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 2a, Kingsport, TN 37660 Phone: 423-224-3375 Fax: 423-378-5940

Mrs Susan Watts Jeansonne, MD - Medicare Pediatrics in Kingsport, TN