Dr Khairunnissa Jooma, DNP/PMHNP-BC/LPC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Chattanooga, Tennessee. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Next Step Behavioral Health Llc and her current practice location is
2205 Mccallie Ave, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 697-8385.
Dr Khairunnissa Jooma is licensed to practice in Tennessee (license number APN0000013348) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639102791.
Healthcare Provider's Profile
| Full Name | Dr Khairunnissa Jooma |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 2205 Mccallie Ave, Chattanooga, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Khairunnissa Jooma graduated from medical school in 2007
NPI Data:
- NPI Number: 1639102791
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 12/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173675741
- Enrollment ID: I20090710000603
Medical Identifiers
Medical identifiers for Dr Khairunnissa Jooma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639102791 | NPI | - | NPPES |
| 5441854 | Medicaid | TN | |
| P00967911 | Other | TN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC 1953 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN0000013348 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Next Step Behavioral Health Llc | 3375873698 | 8 |
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. Dr Khairunnissa Jooma allows following entities to bill medicare on her behalf.
| Entity Name | The Next Step Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770089351
PECOS PAC ID: 3375873698
Enrollment ID: O20190928000055 |
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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. Dr Khairunnissa Jooma 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 Address | Practice Location Address |
|---|
Dr Khairunnissa Jooma, DNP/PMHNP-BC/LPC
91 Harbor Pointe Way,
Knoxville, TN 37922-5154
Ph: (865) 684-0900 | Dr Khairunnissa Jooma, DNP/PMHNP-BC/LPC
2205 Mccallie Ave,
Chattanooga, TN 37404-3230
Ph: (423) 697-8385 |
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