Dr Tidence Lane Prince, MD is a medicare enrolled "Allergy & Immunology" physician in Maryville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Allergy Associates, Pa, Allergy Associates, Pa and his current practice location is
616 W. Lamar Alexander Parkway, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 273-0008.
Dr Tidence Lane Prince is licensed to practice in Tennessee (license number 21247) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215922356.
Physician's Profile
| Full Name | Dr Tidence Lane Prince |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 35 Years |
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| Location | 616 W. Lamar Alexander Parkway, Maryville, Tennessee |
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| Accepts Medicare Assignments | Yes. He 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 Tidence Lane Prince attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1989
NPI Data:
- NPI Number: 1215922356
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375585276
- Enrollment ID: I20050601000274
Medical Identifiers
Medical identifiers for Dr Tidence Lane Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215922356 | NPI | - | NPPES |
| 3068515 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 21247 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allergy Associates, Pa | 1355246398 | 75 |
| Allergy Associates, Pa | 1355246398 | 75 |
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 Tidence Lane Prince allows following entities to bill medicare on his behalf.
| Entity Name | Allergy Associates, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073508347
PECOS PAC ID: 1355246398
Enrollment ID: O20081105000386 |
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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 Tidence Lane Prince 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 |
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Dr Tidence Lane Prince, MD
616 W. Lamar Alexander Parkway,
Maryville, TN 37801-7360
Ph: (865) 273-0008 | Dr Tidence Lane Prince, MD
616 W. Lamar Alexander Parkway,
Maryville, TN 37801-4763
Ph: (865) 273-0008 |
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