Jerome Patrick Tina, is a medicare enrolled "Physician Assistant - Medical" in Jonesborough, Tennessee. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Blue Ridge Medical Management Corporation, Universal Health Corporation and his current practice location is
155 Jim Ford Rd, Jonesborough, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(516) 967-0805.
Jerome Patrick Tina is licensed to practice in Tennessee (license number 5240) 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 1467187229.
Provider's Profile
| Full Name | Jerome Patrick Tina |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 155 Jim Ford Rd, Jonesborough, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jerome Patrick Tina graduated from nursing school in 2022
NPI Data:
- NPI Number: 1467187229
- Provider Enumeration Date: 07/17/2022
- Last Update Date: 07/31/2026
Medicare PECOS Information:
- PECOS PAC ID: 5092188813
- Enrollment ID: I20230227000797
Medical Identifiers
Medical identifiers for Jerome Patrick Tina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467187229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 0110010539 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 5240 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 0110010539 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5240 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blue Ridge Medical Management Corporation | 9739099441 | 283 |
| Universal Health Corporation | 5597912626 | 120 |
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. Jerome Patrick Tina allows following entities to bill medicare on his behalf.
| Entity Name | Blue Ridge Medical Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996 |
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| Entity Name | Tri-cities Regional Emergency Physicians, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399 |
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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. Jerome Patrick Tina 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 |
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Jerome Patrick Tina,
155 Jim Ford Rd,
Jonesborough, TN 37659-3129
Ph: (516) 967-0805 | Jerome Patrick Tina,
155 Jim Ford Rd,
Jonesborough, TN 37659-3129
Ph: (516) 967-0805 |
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