Mr Richard Enoch Treadway Jr, MSN-FNP - Medicare Nurse Practitioner in Johnson City, TN

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Mr Richard Enoch Treadway Jr, MSN-FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hospital Medicine Services Of Tennessee Pc and his current practice location is 119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 282-1480.

Mr Richard Enoch Treadway Jr is licensed to practice in Tennessee (license number 17703) 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 1013355379.

Contact Information

Mr Richard Enoch Treadway Jr, MSN-FNP
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998
(423) 282-1480
(423) 928-1353

Map and Direction




Provider's Profile

Full NameMr Richard Enoch Treadway Jr
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location119 Boone Ridge Dr, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Richard Enoch Treadway Jr graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1013355379
  • Provider Enumeration Date: 06/10/2013
  • Last Update Date: 08/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0941443741
  • Enrollment ID: I20130827000197

Medical Identifiers

Medical identifiers for Mr Richard Enoch Treadway Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013355379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 17703 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Covenant HomecareKnoxville, TNHome health agency
Morristown Hamblen Hospital AssociationMorristown, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Medicine Services Of Tennessee Pc9234432881140

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. Mr Richard Enoch Treadway Jr allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088
Entity NameHospital Medicine Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528433802
PECOS PAC ID: 9234432881
Enrollment ID: O20160114002673

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. Mr Richard Enoch Treadway Jr 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
Mr Richard Enoch Treadway Jr, MSN-FNP
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (423) 282-1480		Mr Richard Enoch Treadway Jr, MSN-FNP
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (423) 282-1480

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-6940
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720
Miss Samantha Manuel I, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604
Phone: 423-952-8000    Fax: 423-952-8001

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.