Misty Dawn Dockery, FNP-BC in Kingsport, TN - Medicare Nurse Practitioner

Misty Dawn Dockery, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. She went to Brody School Of Medicine At East Carolina University and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellmont Medical Associates Inc, Blue Ridge Medical Management Corporation, Wellmont Medical Associates Inc, Blue Ridge Medical Management Corporation and her current practice location is 4485 W Stone Dr, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 578-8500.

Misty Dawn Dockery is licensed to practice in Tennessee (license number APN0000024681) 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 1730655671.

Contact Information

	Misty Dawn Dockery, FNP-BC
	4485 W Stone Dr, Kingsport, TN 37660-1487
	(423) 578-8500
	(423) 578-8590

Map and Direction

Provider's Profile

Full Name	Misty Dawn Dockery
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	4485 W Stone Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Misty Dawn Dockery attended and graduated from Brody School Of Medicine At East Carolina University in 2017

NPI Data:

NPI Number: 1730655671
Provider Enumeration Date: 10/18/2018
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4789925744
Enrollment ID: I20190401002254

Medical Identifiers

Medical identifiers for Misty Dawn Dockery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730655671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN0000024681 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson City Medical Center	Johnson city, TN	Hospital
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellmont Medical Associates Inc	8123291739	405
Blue Ridge Medical Management Corporation	9739099441	308
Wellmont Medical Associates Inc	8123291739	405
Blue Ridge Medical Management Corporation	9739099441	308

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. Misty Dawn Dockery 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	Wps Providers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003904095 PECOS PAC ID: 7719079532 Enrollment ID: O20070824000581

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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. Misty Dawn Dockery 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
Misty Dawn Dockery, FNP-BC 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Misty Dawn Dockery, FNP-BC 4485 W Stone Dr, Kingsport, TN 37660-1487 Ph: (423) 578-8500

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Misty Dawn Dockery, FNP-BC - Medicare Nurse Practitioner in Kingsport, TN