Mrs Susan Watts Jeansonne, MD - Medicare Pediatrics in Kingsport, TN

Mrs Susan Watts Jeansonne, MD is a medicare enrolled "Pediatrics" physician in Kingsport, Tennessee. Her current practice location is 2002 Brookside Dr, Suite 200, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3933.

Mrs Susan Watts Jeansonne is licensed to practice in Tennessee (license number 40530) 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 1114913365.

Contact Information

Mrs Susan Watts Jeansonne, MD
2002 Brookside Dr, Suite 200,
Kingsport, TN 37660-4634
(423) 224-3933
(423) 224-3934



Physician's Profile

Full NameMrs Susan Watts Jeansonne
GenderFemale
SpecialityPediatrics
Location2002 Brookside 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: 1114913365
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 02/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1759307333
  • Enrollment ID: I20051022000197

Medical Identifiers

Medical identifiers for Mrs Susan Watts Jeansonne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114913365NPI-NPPES
1508394MedicaidTN
1114913365MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 40530 (Tennessee)Secondary
208000000XPediatrics MD025360 (Louisiana)Secondary
208000000XPediatrics 40530 (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. Mrs Susan Watts Jeansonne allows following entities to bill medicare on her 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 NameAppalachian Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689985863
PECOS PAC ID: 6901099639
Enrollment ID: O20101026000515

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› Verified 8 days ago

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. Mrs Susan Watts Jeansonne 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
Mrs Susan Watts Jeansonne, MD
2002 Brookside Dr, Suite 200,
Kingsport, TN 37660-4634

Ph: (423) 224-3933
Mrs Susan Watts Jeansonne, MD
2002 Brookside Dr, Suite 200,
Kingsport, TN 37660-4634

Ph: (423) 224-3933

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NanoLogix, Inc. announces that the company has recently filed BNP™ (BioNanoPore) national patent applications in China, Japan, India, Brazil, Russia and the EU. These applications were filed in order to obtain intellectual property protection for the company's technology in countries viewed as representing the largest potential international market for BNP rapid detection, a revolutionary sandwiched-membrane Petri-based technology that can reduce microorganism detection times by 100-400%.

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A new study shows the death of newborn brain cells may be linked to a genetic risk factor for five major psychiatric diseases, and at the same time shows a compound currently being developed for use in humans may have therapeutic value for these diseases by preventing the cells from dying.

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› Verified 8 days ago


Pediatrics Doctors in Kingsport, TN

Mrs. Michelle R Estes, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660
Phone: 423-224-3933    Fax: 423-224-3934
Dr. Sarah Nichols, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Pavilion Dr Ste 210, Kingsport, TN 37660
Phone: 423-224-3933    Fax: 423-224-3934
Dr. Jennifer A Rose, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1005 Hanover Ct, Kingsport, TN 37660
Phone: 423-361-2014    
Dr. Brittney R Terry, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2002 Brookside Dr Ste 200, Kingsport, TN 37660
Phone: 423-530-7970    Fax: 423-530-7971
Arthur Garrett, MD PHD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2212 N John B Dennis Pkwy, Kingsport, TN 37660
Phone: 423-392-6700    
Pius James A. Powers, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Wellmont Holston Valley Medical Center, Kingsport, TN 37660
Phone: 423-246-3220    Fax: 423-246-3221
Dr. Frank Fischer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 2a, Kingsport, TN 37660
Phone: 423-224-3375    Fax: 423-378-5940

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