Dr Jeffrey Stayer, MD - Medicare Emergency Medicine in Kingsport, TN

Dr Jeffrey Stayer, MD is a medicare enrolled "Emergency Medicine" physician in Kingsport, Tennessee. His current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 239-9737.

Dr Jeffrey Stayer is licensed to practice in Tennessee (license number 67411) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124655113.

Contact Information

Dr Jeffrey Stayer, MD
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 239-9737
Not Available



Physician's Profile

Full NameDr Jeffrey Stayer
GenderMale
SpecialityEmergency Medicine
Location130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124655113
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072934686
  • Enrollment ID: I20230712000561

Medical Identifiers

Medical identifiers for Dr Jeffrey Stayer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124655113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 67411 (Tennessee)Primary

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. Dr Jeffrey Stayer allows following entities to bill medicare on his behalf.
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399

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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. Dr Jeffrey Stayer 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
Dr Jeffrey Stayer, MD
2100 Stantonsburg Rd,
Greenville, NC 27834-2818

Ph: () -
Dr Jeffrey Stayer, MD
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 239-9737

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Emergency Medicine Doctors in Kingsport, TN

Dr. James Henry Burleson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2000 Brookside Dr, Indian Path Hospital, Kingsport, TN 37660
Phone: 423-857-7870    Fax: 423-857-7872
William D Hudson, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37662
Phone: 423-224-4000    
Mrs. Susan Watts Jeansonne, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660
Phone: 423-224-3933    Fax: 423-224-3934
Dr. Renee May Sayson Miranda, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
Phone: 423-245-9600    Fax: 423-245-9634
William E Devens Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37662
Phone: 423-224-4000    
Dr. Tunga Trishul Reddy, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 Broad St, Suite 410, Kingsport, TN 37660
Phone: 423-747-1240    

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