Andres Marco Fraga, MSN, PMHNP - Medicare Nurse Practitioner in Chattanooga, TN

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Andres Marco Fraga, MSN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chattanooga, Tennessee. His current practice location is 7345 Courage Way, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 602-9797.

Andres Marco Fraga is licensed to practice in Tennessee (license number APN0000025231) 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 1508330150.

Contact Information

Andres Marco Fraga, MSN, PMHNP
7345 Courage Way,
Chattanooga, TN 37421-1555
(423) 602-9797
Not Available

Map and Direction




Provider's Profile

Full NameAndres Marco Fraga
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location7345 Courage Way, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508330150
  • Provider Enumeration Date: 01/16/2019
  • Last Update Date: 01/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274865498
  • Enrollment ID: I20191021002469

Medical Identifiers

Medical identifiers for Andres Marco Fraga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508330150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APN0000025231 (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. Andres Marco Fraga allows following entities to bill medicare on his behalf.
Entity NameState Of Tennessee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487791315
PECOS PAC ID: 5698687077
Enrollment ID: O20031104000309
Entity NameScenic City Alliance Of Psychiatry And Psychotherapy Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144788753
PECOS PAC ID: 1355670746
Enrollment ID: O20190910003254

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. Andres Marco Fraga 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
Andres Marco Fraga, MSN, PMHNP
166 Timberland Trl,
Ringgold, GA 30736-4554

Ph: (954) 909-3932		Andres Marco Fraga, MSN, PMHNP
7345 Courage Way,
Chattanooga, TN 37421-1555

Ph: (423) 602-9797

Reviews and Comments


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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.