Carly Addison Rankin, PA is a medicare enrolled "Physician Assistant" in Harrison, Tennessee. Her current practice location is
6309 Highway 58, Harrison, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 352-9154.
Carly Addison Rankin is licensed to practice in Tennessee (license number 5135) 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 1689317463.
Provider's Profile
| Full Name | Carly Addison Rankin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6309 Highway 58, Harrison, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689317463
- Provider Enumeration Date: 04/19/2022
- Last Update Date: 11/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153799796
- Enrollment ID: I20221201002237
Medical Identifiers
Medical identifiers for Carly Addison Rankin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689317463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5135 (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. Carly Addison Rankin 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 |
|---|
Carly Addison Rankin, PA
6309 Highway 58,
Harrison, TN 37341-9412
Ph: (423) 352-9154 | Carly Addison Rankin, PA
6309 Highway 58,
Harrison, TN 37341-9412
Ph: (423) 352-9154 |
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