Wilma Proffitt, MD in Maryville, TN - Medicare Anesthesiology

Wilma Proffitt, MD is a medicare enrolled "Anesthesiology" physician in Maryville, Tennessee. Her current practice location is 907 E Lamar Alexander Pkwy, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 983-7211.

Wilma Proffitt is licensed to practice in Tennessee (license number 25501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588655880.

Contact Information

	Wilma Proffitt, MD
	907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015
	(865) 983-7211
	(865) 450-9374

Map and Direction

Physician's Profile

Full Name	Wilma Proffitt
Gender	Female
Speciality	Anesthesiology
Location	907 E Lamar Alexander Pkwy, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588655880
Provider Enumeration Date: 11/04/2005
Last Update Date: 12/02/2010

Medicare PECOS Information:

PECOS PAC ID: 5890811871
Enrollment ID: I20100928000131

Medical Identifiers

Medical identifiers for Wilma Proffitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588655880	NPI	-	NPPES
3131612	Other	TN	BLUE CROSS BLUE SHIELD TN
3091120	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	25501 (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. Wilma Proffitt allows following entities to bill medicare on her behalf.

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426

Entity Name	Laurel Falls Anesthesiologists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942980875 PECOS PAC ID: 8921452673 Enrollment ID: O20230928002052

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. Wilma Proffitt 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
Wilma Proffitt, MD Po Box 24776, Chattanooga, TN 37422-4776 Ph: (877) 288-1799	Wilma Proffitt, MD 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 983-7211

Reviews and Comments

Anesthesiology Doctors in Maryville, TN

Cathy E Petty, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374
Immaculate Thomason, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788
Cheryl E Coleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374
Jerry M Gilley, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374
Anthony Ragsdale, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374
Denise Liyana Charlton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788
Jon L Cheek, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211

Wilma Proffitt, MD - Medicare Anesthesiology in Maryville, TN