Mitchell Deshazer, - Medicare Internal Medicine in Johnson City, TN

Mitchell Deshazer, is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Johnson City, Tennessee. His current practice location is 400 N State Of Franklin Rd, Room 2746, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-2727.

Mitchell Deshazer is licensed to practice in Tennessee (license number 51285) 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 1023276870.

Contact Information

Mitchell Deshazer,
400 N State Of Franklin Rd, Room 2746,
Johnson City, TN 37604-6035
(423) 431-2727
(423) 431-6715



Physician's Profile

Full NameMitchell Deshazer
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
Location400 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023276870
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 02/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3779607817
  • Enrollment ID: I20141009000618

Medical Identifiers

Medical identifiers for Mitchell Deshazer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023276870NPI-NPPES
P01365055OtherTNRAILROAD MEDICARE
1023276870MedicaidVA
Q007623MedicaidTN
7100376940MedicaidKY
1023276870MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist N2058 (Texas)Secondary
207R00000XInternal Medicine N2058 (Texas)Secondary
207R00000XInternal Medicine 7932447-1205 (Utah)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 51285 (Tennessee)Primary
207R00000XInternal Medicine 51285 (Tennessee)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 51285 (Tennessee)Secondary

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. Mitchell Deshazer 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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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. Mitchell Deshazer 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
Mitchell Deshazer,
400 N State Of Franklin Rd, Room 2746,
Johnson City, TN 37604-6035

Ph: (423) 431-2727
Mitchell Deshazer,
400 N State Of Franklin Rd, Room 2746,
Johnson City, TN 37604-6035

Ph: (423) 431-2727

News Archive

Review: Herbs and dietary supplements can cause potentially harmful drug interactions

A number of herbs and dietary supplements (HDS) can cause potentially harmful drug interactions, particularly among people receiving medication for problems with their central nervous or cardiovascular systems.

Collaborative project to consider new hypotheses for causation of subdural hematomas in SBS

New research led by the East Midlands Forensic Pathology Unit at the University of Leicester will consider new theories as to the cause of subdural hematomas in infants. Support for the research has been provided by the NPIA, and the project is multi-disciplinary and collaborative.

IAS conference concludes with positive news on HIV prevention

"Scientists on Wednesday wrapped up their biggest forum in the 30-year history of AIDS, unveiling stunning weapons to prevent the spread of HIV," Agence France-Presse reports about the 6th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention in Rome.

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Wastewater analysis predicts COVID-19 spread

The researchers from Yale University provided an outline of the spread of the infection in the community. Their study titled, "Measurement of SARS-CoV-2 RNA in wastewater tracks community infection dynamics," is published in the latest issue of the journal Nature Biotechnology.

Read more News

› Verified 6 days ago


Internal Medicine Doctors in Johnson City, TN

Dr. Alan Cox, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2603 Avondale Dr, Johnson City, TN 37604
Phone: 423-767-8268    
Dr. Sheeba Anand, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin, Johnson City, TN 37614
Phone: 423-439-6283    
Dr. Charles Famoyin, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601
Phone: 423-282-0561    Fax: 423-268-2674
Robert Taylor Means Jr., MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604
Phone: 423-439-7280    Fax: 423-439-7314
Dr. Tariq Ziad Haddadin, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604
Phone: 423-926-4468    Fax: 423-928-4838
Dr. E Paul Getaz, MD, PHD, MFA, MBA
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 5 Saint Annes Ct, Johnson City, TN 37604
Phone: 423-946-0708    
Timothy O Mcbride, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060

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