Ava Rose Dettore, PA - Medicare Physician Assistant in Red Bank, TN

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Ava Rose Dettore, PA is a medicare enrolled "Physician Assistant" in Red Bank, Tennessee. Her current practice location is 4104 Dayton Blvd, Red Bank, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 499-7710.

Ava Rose Dettore is licensed to practice in Tennessee (license number 6179) 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 1295562106.

Contact Information

Ava Rose Dettore, PA
4104 Dayton Blvd,
Red Bank, TN 37415-7155
(423) 499-7710
Not Available

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Provider's Profile

Full NameAva Rose Dettore
GenderFemale
SpecialityPhysician Assistant
Location4104 Dayton Blvd, Red Bank, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295562106
  • Provider Enumeration Date: 09/16/2024
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264967553
  • Enrollment ID: I20241122003380

Medical Identifiers

Medical identifiers for Ava Rose Dettore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295562106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 6179 (Tennessee)Primary

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. Ava Rose Dettore 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
Ava Rose Dettore, PA
4104 Dayton Blvd,
Red Bank, TN 37415-7155

Ph: (423) 499-7710		Ava Rose Dettore, PA
4104 Dayton Blvd,
Red Bank, TN 37415-7155

Ph: (423) 499-7710

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Physician Assistant Nurses in Red Bank, TN

Sarah E Grissom, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4101 Dayton Blvd, Red Bank, TN 37415
Phone: 423-499-7710    Fax: 423-499-7711

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.