Jessica Elise Pugh, MD - Medicare Obstetrics & Gynecology in Kingsport, TN

Jessica Elise Pugh, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Kingsport, Tennessee. Her current practice location is 105 W Park Dr, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3220.

Jessica Elise Pugh is licensed to practice in Tennessee (license number 55537) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982047650.

Contact Information

Jessica Elise Pugh, MD
105 W Park Dr,
Kingsport, TN 37660-3805
(423) 224-3220
Not Available



Physician's Profile

Full NameJessica Elise Pugh
GenderFemale
SpecialityObstetrics & Gynecology
Location105 W Park Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982047650
  • Provider Enumeration Date: 04/12/2013
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406102052
  • Enrollment ID: I20180711004029

Medical Identifiers

Medical identifiers for Jessica Elise Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982047650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 55537 (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. Jessica Elise Pugh allows following entities to bill medicare on her behalf.
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101

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Entity NameTakoma Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699819003
PECOS PAC ID: 8729189295
Enrollment ID: O20070727000394

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Entity NameSumner Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720572209
PECOS PAC ID: 8820283260
Enrollment ID: O20101112000475

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Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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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. Jessica Elise Pugh 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
Jessica Elise Pugh, MD
105 W Park Dr,
Kingsport, TN 37660-3805

Ph: (423) 224-3220
Jessica Elise Pugh, MD
105 W Park Dr,
Kingsport, TN 37660-3805

Ph: (423) 224-3220

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› Verified 8 days ago


Obstetrics & Gynecology Doctors in Kingsport, TN

Dr. Scott Fowler, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Stone Dr, Ste 2b, Kingsport, TN 37660
Phone: 423-247-7500    Fax: 423-245-4679
Judith P. Fischer, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: One Sheridan Square, Suite 105, Kingsport, TN 37660
Phone: 423-427-4201    Fax: 423-247-5470
Dr. James P Beckner, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Suite 3a, Kingsport, TN 37660
Phone: 423-224-3220    Fax: 423-224-3233
Dr. Sheldon H Fisher, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2002 Brookside Dr, Ste 300, Kingsport, TN 37660
Phone: 423-392-6370    Fax: 423-392-6736
Dr. Mark L Withrow, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Stone Dr Ste 5d, Kingsport, TN 37660
Phone: 423-247-7500    Fax: 423-247-7556
Dr. Dennis Charles Desimone, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2202 N John B Dennis Hwy Ste 204, Kingsport, TN 37660
Phone: 423-245-1040    
Dr. Robert Saunders, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Ste 3a, Kingsport, TN 37660
Phone: 423-224-3220    Fax: 423-224-3233

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