Andrea Gilliam, NP - Medicare Nurse Practitioner in Jasper, TN

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Andrea Gilliam, NP is a medicare enrolled "Nurse Practitioner - Family" in Jasper, Tennessee. Her current practice location is 4300 Main St, Jasper, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 651-1696.

Andrea Gilliam is licensed to practice in Tennessee (license number 32804) 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 1720797475.

Contact Information

Andrea Gilliam, NP
4300 Main St,
Jasper, TN 37347-3438
(423) 651-1696
(423) 651-1697

Map and Direction




Provider's Profile

Full NameAndrea Gilliam
GenderFemale
SpecialityNurse Practitioner - Family
Location4300 Main St, Jasper, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720797475
  • Provider Enumeration Date: 11/22/2022
  • Last Update Date: 11/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284003807
  • Enrollment ID: I20221202002310

Medical Identifiers

Medical identifiers for Andrea Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720797475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 32804 (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. Andrea Gilliam allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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. Andrea Gilliam 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 AddressPractice Location Address
Andrea Gilliam, NP
4300 Main St,
Jasper, TN 37347-3438

Ph: (423) 651-1696		Andrea Gilliam, NP
4300 Main St,
Jasper, TN 37347-3438

Ph: (423) 651-1696

Reviews and Comments


Nurse Practitioner Nurses in Jasper, TN

Rhonda C Hill, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 980 Highway 28, Ste 100, Jasper, TN 37347
Phone: 423-939-1500    Fax: 423-939-1503
Elizabeth Rodgers, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 Hickman Road, Jasper, TN 37347
Phone: 423-942-3961    Fax: 423-942-3961
Shana T Hilson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1115 Dennis Ave, Jasper, TN 37347
Phone: 931-691-5101    
Glenna Willis Lashley, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 503 Westfield Pl, Jasper, TN 37347
Phone: 423-939-0525    Fax: 423-939-0378
Margaret Anna Thomas, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Main St, Jasper, TN 37347
Phone: 423-651-1696    Fax: 423-651-1697
Ms. Nancy Mueller Fleenor, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 980 Highway 28, Frances H. Barnett Md Family Practice, Jasper, TN 37347
Phone: 423-942-3869    
Ms. Pamela Louise West, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 215 Hickman Rd, Jasper, TN 37347
Phone: 423-942-3962    Fax: 423-942-6895

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.