Theresa Ann Groomes, NP - Medicare Nurse Practitioner in Bristol, TN

Theresa Ann Groomes, NP is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Tennessee. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ipc Pac Healthcare Services Of Tennessee Pc and her current practice location is 1 Medical Park Blvd Ste 350w, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-1480.

Theresa Ann Groomes is licensed to practice in Tennessee (license number 22121) 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 1134666191.

Contact Information

Theresa Ann Groomes, NP
1 Medical Park Blvd Ste 350w,
Bristol, TN 37620-7471
(423) 282-1480
(423) 928-1353

Map and Direction




Provider's Profile

Full NameTheresa Ann Groomes
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1 Medical Park Blvd Ste 350w, Bristol, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Ann Groomes graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1134666191
  • Provider Enumeration Date: 01/27/2017
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5092090985
  • Enrollment ID: I20170315001466

Medical Identifiers

Medical identifiers for Theresa Ann Groomes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134666191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22121 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson City Medical CenterJohnson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ipc Pac Healthcare Services Of Tennessee Pc084058757264

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. Theresa Ann Groomes allows following entities to bill medicare on her 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 NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263

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. Theresa Ann Groomes 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
Theresa Ann Groomes, NP
Po Box 4018,
Johnson City, TN 37602-4018

Ph: (423) 282-1480
Theresa Ann Groomes, NP
1 Medical Park Blvd Ste 350w,
Bristol, TN 37620-7471

Ph: (423) 282-1480

Reviews and Comments


Nurse Practitioner Nurses in Bristol, TN

Mrs. Kelly Carter Simcox, FNP-BC
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Phone: 423-844-6515    Fax: 423-652-2590
Mrs. Theresa M Kalb, N.P.
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Kimi Kay Guffey, NURSE PRACTITIONER
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Phone: 423-722-5000    Fax: 423-722-5130
Laura Ann Eller, AGACNP
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Medicare: Not Enrolled in Medicare
Practice Location: 2298 Highway 126, Bristol, TN 37620
Phone: 307-371-1381    
Shellie Rose Butler, FNP
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Medicare: Medicare Enrolled
Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620
Phone: 423-722-5000    Fax: 423-722-5130
Mrs. Jo Anne Roe Viers, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620
Phone: 423-844-4975    Fax: 423-844-4987
Mikayla B Duncan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 271 Medical Park Blvd, Bristol, TN 37620
Phone: 423-274-8600    Fax: 423-390-6845

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.