Sallie H Lively, NP in Kingsport, TN - Medicare Nurse Practitioner

Sallie H Lively, NP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellmont Medical Associates Inc and her current practice location is 117 W Sevier Ave, Suite 100, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3300.

Sallie H Lively is licensed to practice in Tennessee (license number 16259) 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 1063781714.

Contact Information

	Sallie H Lively, NP
	117 W Sevier Ave, Suite 100, Kingsport, TN 37660-3799
	(423) 224-3300
	(423) 378-5324

Map and Direction

Provider's Profile

Full Name	Sallie H Lively
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	117 W Sevier Ave, 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:

Sallie H Lively attended and graduated from East Tennessee State University Quillen College Of Medicine in 2011

NPI Data:

NPI Number: 1063781714
Provider Enumeration Date: 12/27/2011
Last Update Date: 04/20/2015

Medicare PECOS Information:

PECOS PAC ID: 4284891623
Enrollment ID: I20120213000663

Medical Identifiers

Medical identifiers for Sallie H Lively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063781714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024169711 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	16259 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Care	Abingdon, VA	Home health agency
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital
Johnston Memorial Hospital	Abingdon, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellmont Medical Associates Inc	8123291739	405

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. Sallie H Lively allows following entities to bill medicare on her behalf.

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467

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. Sallie H Lively 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
Sallie H Lively, NP 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 408-7220	Sallie H Lively, NP 117 W Sevier Ave, Suite 100, Kingsport, TN 37660-3799 Ph: (423) 224-3300

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

Sallie H Lively, NP - Medicare Nurse Practitioner in Kingsport, TN