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Nerissa Licup in Kingsport, Tennessee

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Nerissa Licup has Internal Medicine as her primary medical specialty. Their primary office is: 2205 Pavilion Dr in Kingsport, Tennessee.

They're a part of the: Blue Ridge Medical Management Corporation medical group which has around 311 members. You can call their office at 423-857-6466 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2004 (around 20 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Nerissa Licup Office Phone and Directions

Nerissa Licup
Blue Ridge Medical Management Corporation
2205 Pavilion Dr
Kingsport, Tennessee 37660
423-857-6466


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Phone: 423-857-6466


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Healthcare Info for Nerissa Licup

Medical School: Sorry, her university is not listed
Graduation Year: 2004
The Primary Medical Specialty for Nerissa Licup is listed as: Internal Medicine
Approximate Years of Experience: 20
PAC (PECOS ID)#: 5496940363
NPI #: 1720269731
NPI Created On: 11/19/2007
NPI Last Updated Listed as: 06/23/2023
Primary Taxonomy Code: 390200000X
Listed Gender: Female

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Humana
  • Blue Cross Blue Shield
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English, Filipino, Tagalog.


Services and Procedures include:

  1. Urinalysis, manual test
  2. Hemoglobin a1c level
  3. Vaccine for influenza for injection into muscle
  4. Vaccine for influenza for administration into muscle, 0.5 ml dosage
  5. Established patient office or other outpatient visit, typically 15 minutes
  6. Established patient office or other outpatient, visit typically 25 minutes
  7. Established patient office or other outpatient, visit typically 40 minutes
  8. Physician telephone patient service, 5-10 minutes of medical discussion
  9. Physician telephone patient service, 11-20 minutes of medical discussion
  10. Physician telephone patient service, 21-30 minutes of medical discussion
  11. Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge
  12. Administration of influenza virus vaccine
  13. Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788610175

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: INVOKANA

Open Associated Drug #1: 50458-140-30

Drug or Biological: Drug

Product Category #2: Cardiovascular & Metabolism

Name Of Drug #2:: XARELTO

Associated Drug #2: 50458-580-30


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788610183

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: INVOKANA

Open Associated Drug #1: 50458-140-30

Drug or Biological: Drug

Product Category #2: Cardiovascular & Metabolism

Name Of Drug #2:: XARELTO

Associated Drug #2: 50458-580-30


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788610177

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: INVOKANA

Open Associated Drug #1: 50458-140-30

Drug or Biological: Drug

Product Category #2: Cardiovascular & Metabolism

Name Of Drug #2:: XARELTO

Associated Drug #2: 50458-580-30


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788610179

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: INVOKANA

Open Associated Drug #1: 50458-140-30

Drug or Biological: Drug

Product Category #2: Cardiovascular & Metabolism

Name Of Drug #2:: XARELTO

Associated Drug #2: 50458-580-30


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788610181

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: INVOKANA

Open Associated Drug #1: 50458-140-30

Drug or Biological: Drug

Product Category #2: Cardiovascular & Metabolism

Name Of Drug #2:: XARELTO

Associated Drug #2: 50458-580-30


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788610185

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788610187

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795328759

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795328765

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: VRAYLAR

Open Associated Drug #1: 61874-115-31


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 795328769

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: GASTROENTEROLOGY

Name of Drug #1: LINZESS

Open Associated Drug #1: 0456-1201-30


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Providers in Blue Ridge Medical Management Corporation

1.Haytham Adada

323 Falls Nwdr
Abingdon Va 24210-8093
Blue Ridge Medical Management Corporation
Pulmonary Disease

2.Haytham Adada

16000 Johnson Memorial Dr
Abingdon Va 24211-7664
Blue Ridge Medical Management Corporation
Pulmonary Disease

3.Stephanie Adams

400 N State Of Franklin Rd
Johnson City Tn 37604-6035
Blue Ridge Medical Management Corporation
Family Practice

4.Christa Addington

4600 Fort Henry Dr
Kingsport Tn 37663-2617
Blue Ridge Medical Management Corporation
Nurse Practitioner

5.Bukola Afilaka

408 N State Of Franklin
Johnson City Tn 37604
Blue Ridge Medical Management Corporation
Hospitalist

6.Faith Aimua

403 N State Of Franklin Rd
Johnson City Tn 37604-0000
Blue Ridge Medical Management Corporation
Psychiatry

View all 311 members of Blue Ridge Medical Management Corporation medical group