MEGAN EVANA JONES
NPI 1750713087
Case Manager/Care Coordinator in Knoxville, TN

NPI Status: Active since August 09, 2013

Contact Information

201 W SPRINGDALE AVE
KNOXVILLE, TN
ZIP 37917
Phone: (865) 637-9711

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  • Individual
  • Female
  • Case Manager/Care Coordinator
  • Accepts Insurance
  • PECOS Enrolled

About MEGAN JONES

This page provides the complete NPI Profile along with additional information for Megan Jones, a provider established in Knoxville, Tennessee with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1750713087 assigned on August 2013. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1750713087
Provider Name
MEGAN EVANA JONES
Gender
Female
Entity Type
Individual
Location Address
201 W SPRINGDALE AVE KNOXVILLE, TN 37917
Location Phone
(865) 637-9711
Mailing Address
201 W SPRINGDALE AVE KNOXVILLE, TN 37917
Mailing Phone
(865) 637-9711
Is Sole Proprietor?
No
Enumeration Date
08-09-2013
Last Update Date
08-09-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Prosano Gold ($0 Prosano Health Visits) - HMO
  • AZ Blue EverydayHealth Prosano Silver ($0 Prosano Health Visits) - HMO
  • AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue Portfolio Bronze HSA Focus - HMO
  • AZ Blue Portfolio Bronze HSA Neighborhood - HMO
  • AZ Blue StandardHealth Bronze Focus - HMO
  • AZ Blue StandardHealth Bronze Neighborhood - HMO
  • AZ Blue StandardHealth Gold Focus - HMO
  • AZ Blue StandardHealth Gold Neighborhood - HMO
  • AZ Blue StandardHealth Silver Focus - HMO
  • AZ Blue StandardHealth Silver Neighborhood - HMO
  • BlueCross B15E $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health� - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Megan Jones is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MEGAN EVANA JONES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750713087, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 4 + 1 + 6 + 0 + 1 + 6 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1750713087.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Social Worker (Clinical)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE, BUILDING 1
KNOXVILLE, TN 37917
Counselor
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Registered Nurse (Psychiatric/Mental Health, Adult)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Registered Nurse
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Social Worker (Clinical)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Registered Nurse (Psychiatric/Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Registered Nurse (Psychiatric/Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917
Counselor (Mental Health)
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750713087, enumerated as an "individual" on August 09, 2013.

The provider is located at 201 W SPRINGDALE AVE KNOXVILLE, TN 37917 and the phone number is (865) 637-9711.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and BlueCross. Please consult your insurance carrier or call the provider to verify.