John R Hereford, MD - Medicare Obstetrics/gynecology in Kingsport, TN

John R Hereford, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Kingsport, Tennessee. He went to University Of Louisville School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice State Of Franklin Healthcare Associates, Pllc and his current practice location is 2002 Brookside Dr Ste 300, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 530-7900.

John R Hereford is licensed to practice in Tennessee (license number MD15919) 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 1619931557.

Contact Information

John R Hereford, MD
2002 Brookside Dr Ste 300,
Kingsport, TN 37660-4634
(423) 530-7900
(423) 530-7901



Physician's Profile

Full NameJohn R Hereford
GenderMale
SpecialityObstetrics/gynecology
Experience45 Years
Location2002 Brookside Dr Ste 300, Kingsport, 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:
  • John R Hereford attended and graduated from University Of Louisville School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1619931557
  • Provider Enumeration Date: 04/17/2006
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072615178
  • Enrollment ID: I20070220000522

Medical Identifiers

Medical identifiers for John R Hereford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619931557NPI-NPPES
1619931557MedicaidVA
7100045670MedicaidKY
3011101MedicaidTN
3011104MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD15919 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indian Path Community HospitalKingsport, TNHospital
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Johnson City Medical CenterJohnson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Franklin Healthcare Associates, Pllc2466346291247

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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. John R Hereford 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

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Entity NameMedical Education Assistance Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235180480
PECOS PAC ID: 3870491269
Enrollment ID: O20040206000795

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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 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. John R Hereford 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
John R Hereford, MD
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 530-7900
John R Hereford, MD
2002 Brookside Dr Ste 300,
Kingsport, TN 37660-4634

Ph: (423) 530-7900

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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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