New Life Medicine - Medicare Mental Health Clinic in Johnson City, TN

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New Life Medicine is a medicare enrolled mental health clinic (Internal Medicine - Addiction Medicine) in Johnson City, Tennessee. The current practice location for New Life Medicine is 2408 Susannah St Ste 1, Johnson City, Tennessee. For appointments, you can reach them via phone at (423) 434-6677. The mailing address for New Life Medicine is 2408 Susannah St Ste 1, Johnson City, Tennessee and phone number is (423) 434-6677.

New Life Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114462215. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 434-6677.

Contact Information

New Life Medicine
2408 Susannah St Ste 1
Johnson City
TN 37601-1765
(423) 434-6677
(423) 461-0000

Map and Direction


Mental Health Clinic Profile

Full NameNew Life Medicine
SpecialityInternal Medicine
Location2408 Susannah St Ste 1, Johnson City, Tennessee
Authorized Official Name and PositionDaniel Tackling (CFO)
Authorized Official Contact4234346677
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
New Life Medicine
2408 Susannah St Ste 1
Johnson City
TN 37601-1765

Ph: (423) 434-6677		New Life Medicine
2408 Susannah St Ste 1
Johnson City
TN 37601-1765

Ph: (423) 434-6677

NPI Details:

NPI Number1114462215
Provider Enumeration Date12/27/2016
Last Update Date11/06/2024
Certification Date11/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9436434909
Medicare Enrollment IDO20170323002169

Medical Identifiers

Medical identifiers for New Life Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114462215NPI-NPPES
2017139831MedicaidVA
7100519480MedicaidKY
Q026013MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. New Life Medicine acts as a billing entity for following providers:
Provider NameCarrie N Lingerfelt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497784136
PECOS PAC ID: 4880635937
Enrollment ID: I20050518001056
Provider NamePhillip J Seifert
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306885454
PECOS PAC ID: 0941239818
Enrollment ID: I20050810001111
Provider NameHolly C Grigsby
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1326138470
PECOS PAC ID: 1355423773
Enrollment ID: I20080124000256
Provider NameJeanne Lewis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1508051772
PECOS PAC ID: 9436214137
Enrollment ID: I20090212000400
Provider NameEmmalea Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073891701
PECOS PAC ID: 1759550478
Enrollment ID: I20110812000514
Provider NameDarin L Hale
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1760671655
PECOS PAC ID: 0648350512
Enrollment ID: I20120209000635
Provider NameJason Della Vecchia
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1770554982
PECOS PAC ID: 6901886159
Enrollment ID: I20120319000381
Provider NameChambless R Johnston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790972628
PECOS PAC ID: 9335287481
Enrollment ID: I20120601000358
Provider NameJoe M Rupe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013986264
PECOS PAC ID: 4981687720
Enrollment ID: I20140321001167
Provider NameJoshua A Morris
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1215224902
PECOS PAC ID: 1951528173
Enrollment ID: I20140926001387
Provider NameJoseph Langford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063476992
PECOS PAC ID: 7911092069
Enrollment ID: I20161221000824
Provider NameJared W Pack
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396163101
PECOS PAC ID: 0042587529
Enrollment ID: I20170605001972
Provider NameSeth Clayton Thompson
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1467683300
PECOS PAC ID: 6507164506
Enrollment ID: I20180609000205
Provider NameRebecca Greenway
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174709323
PECOS PAC ID: 8729328604
Enrollment ID: I20190313001744
Provider NameKristin Rae Mckamey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811527609
PECOS PAC ID: 3173952843
Enrollment ID: I20200331002533
Provider NameJennifer Judy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326713280
PECOS PAC ID: 6204231764
Enrollment ID: I20210820001779
Provider NameAshlyn Nicole Morehouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962126128
PECOS PAC ID: 2365819091
Enrollment ID: I20221109000234
Provider NameAshley Greenway
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508477274
PECOS PAC ID: 2567881683
Enrollment ID: I20230319000099
Provider NamePamela Morong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043828965
PECOS PAC ID: 4789048398
Enrollment ID: I20230915000707
Provider NameJordan Danielle Conley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659930543
PECOS PAC ID: 1557713286
Enrollment ID: I20240118002506
Provider NameKristen Thompson Edwards
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1487329686
PECOS PAC ID: 7012352487
Enrollment ID: I20240226003127
Provider NameLogan Myers
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578262135
PECOS PAC ID: 8820433550
Enrollment ID: I20240304001690
Provider NameSamantha Joline Fox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023673407
PECOS PAC ID: 0547690711
Enrollment ID: I20240311002686
Provider NameAllyson Elizabeth Lee
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235990821
PECOS PAC ID: 3971038290
Enrollment ID: I20241124000131
Provider NameLacinda R Thomas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780948034
PECOS PAC ID: 5395270482
Enrollment ID: I20241126003198
Provider NameChristina Millinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104331396
PECOS PAC ID: 3577823541
Enrollment ID: I20250116000725

Reviews and Comments

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Phone: 423-722-2422    Fax: 423-722-2400
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Practice Location: 1618 Strawberry Ln, Johnson City, TN 37604
Phone: 423-677-6787    

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.

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