HEATHER L COBURN PA-C - NPI 1932165545 - Physician Assistant in Johnson City, TN

Q: What is Heather Coburn's NPI number?

The NPI number for Heather Coburn is 1932165545. It was assigned to this individual provider in the NPPES registry on April 22, 2006. The provider is also known as Heather L Keene Pa-C.

Q: What is Heather Coburn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Heather Coburn was last updated on June 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Heather L Coburn Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER L COBURN PA-C (NPI 1932165545) is an individual medical provider in Johnson City, Tennessee, licensed in Tennessee (PA01205) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1932165545

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHEATHER L COBURNCredential: PA-C

Location Address1019 W OAKLAND AVE, SUITE 1Johnson City, TN 37604

Mailing Address1019 W Oakland Ave, Suite 1Johnson City, TN 37604-2357 · (423) 915-5000 · Fax (423) 915-5045

Phone(423) 915-5000

Fax(423) 915-5045

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 22, 2006

Last NPPES UpdateJune 4, 2018

✔ NPI 1932165545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · PA01205

1019 W OAKLAND AVE, Johnson City, TN 37604

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Other Names 1

Former Name (1)Heather L Keene Pa-c

Secondary Practice Location 1

Location 1378 Marketplace Dr Ste 5Johnson City, TN 37604-2361 · Phone (423) 282-0751 · Fax (423) 282-1577

Other Identifiers 2

Medicaid1932165545VA

MedicaidQ003283TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather L Coburn Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577526227

PECOS Enrollment IDI20041104000600

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Clinic/Center (Urgent Care)