Thomas Virgil Vertrees, MSN, APN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Lebanon, Tennessee. His current practice location is
704 Cadet Ct, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 784-4056.
Thomas Virgil Vertrees is licensed to practice in Tennessee (license number 19298) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356524839.
Healthcare Provider's Profile
| Full Name | Thomas Virgil Vertrees |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 704 Cadet Ct, Lebanon, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356524839
- Provider Enumeration Date: 12/07/2007
- Last Update Date: 12/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 9335466069
- Enrollment ID: I20150318000308
Medical Identifiers
Medical identifiers for Thomas Virgil Vertrees such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356524839 | NPI | - | NPPES |
| 1514760 | Medicaid | TN | |
| 774564000 | Other | TN | MAGELLAN |
| Q010777 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2447 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 19298 (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. Thomas Virgil Vertrees allows following entities to bill medicare on his behalf.
| Entity Name | Athena Consulting And Psychological Services, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336292465
PECOS PAC ID: 5294719795
Enrollment ID: O20040614001008 |
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| Entity Name | Vanderbilt University Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104202761
PECOS PAC ID: 5092023416
Enrollment ID: O20151006000369 |
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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. Thomas Virgil Vertrees 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 |
|---|
Thomas Virgil Vertrees, MSN, APN, PMHNP-BC
2016 Kimberly Dr,
Mount Juliet, TN 37122-4212
Ph: (931) 349-8941 | Thomas Virgil Vertrees, MSN, APN, PMHNP-BC
704 Cadet Ct,
Lebanon, TN 37087
Ph: (615) 784-4056 |
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