Stephanie Renee Roach, FNP in Kingsport, TN - Medicare Nurse Practitioner

Stephanie Renee Roach, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holston Medical Group Pc, Holston Medical Group Pc and her current practice location is 2020 Brookside Dr, Suite 20, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 247-7030.

Stephanie Renee Roach is licensed to practice in Tennessee (license number 15751) 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 1275820599.

Contact Information

	Stephanie Renee Roach, FNP
	2020 Brookside Dr, Suite 20, Kingsport, TN 37660-4633
	(423) 247-7030
	(423) 247-7033

Map and Direction

Provider's Profile

Full Name	Stephanie Renee Roach
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	2020 Brookside 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:

Stephanie Renee Roach graduated from nursing school in 2010

NPI Data:

NPI Number: 1275820599
Provider Enumeration Date: 07/07/2011
Last Update Date: 07/07/2011

Medicare PECOS Information:

PECOS PAC ID: 1759553241
Enrollment ID: I20111005000339

Medical Identifiers

Medical identifiers for Stephanie Renee Roach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275820599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	15751 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain Regional Personal Care Services Inc	Duffield, VA	Home health agency
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holston Medical Group Pc	8224935754	221
Holston Medical Group Pc	8224935754	221

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. Stephanie Renee Roach allows following entities to bill medicare on her behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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. Stephanie Renee Roach 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
Stephanie Renee Roach, FNP Po Box 4842, Johnson City, TN 37602-4842 Ph: (423) 247-7030	Stephanie Renee Roach, FNP 2020 Brookside Dr, Suite 20, Kingsport, TN 37660-4633 Ph: (423) 247-7030

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

Stephanie Renee Roach, FNP - Medicare Nurse Practitioner in Kingsport, TN