Theodore D Fox, NP - Medicare Nurse Practitioner in Greeneville, TN

Theodore D Fox, NP is a medicare enrolled "Nurse Practitioner - Family" in Greeneville, 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 Wellmont Medical Associates Inc, Wellmont Medical Associates Inc and his current practice location is 1021 Coolidge St Ste 5, Greeneville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 636-8891.

Theodore D Fox is licensed to practice in Tennessee (license number 20688) 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 1164815817.

Contact Information

Theodore D Fox, NP
1021 Coolidge St Ste 5,
Greeneville, TN 37743-4692
(423) 636-8891
Not Available

Map and Direction




Provider's Profile

Full NameTheodore D Fox
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location1021 Coolidge St Ste 5, Greeneville, 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:
  • Theodore D Fox graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1164815817
  • Provider Enumeration Date: 03/05/2015
  • Last Update Date: 09/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618284704
  • Enrollment ID: I20160106002356

Medical Identifiers

Medical identifiers for Theodore D Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164815817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 86493 (West Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024173851 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 20688 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellmont Medical Associates Inc8123291739405
Wellmont Medical Associates Inc8123291739405

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. Theodore D Fox allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameTakoma Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699819003
PECOS PAC ID: 8729189295
Enrollment ID: O20070727000394
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Theodore D Fox 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
Theodore D Fox, NP
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565
Theodore D Fox, NP
1021 Coolidge St Ste 5,
Greeneville, TN 37743-4692

Ph: (423) 636-8891

Reviews and Comments


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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.