Chelsea Lane Gondek, - Medicare Nurse Practitioner in East Ridge, TN

Chelsea Lane Gondek, is a medicare enrolled "Nurse Practitioner - Family" in East Ridge, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Twelvestone Infusion Centers Llc and her current practice location is 961 Spring Creek Rd Ste 300, East Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 839-9787.

Chelsea Lane Gondek is licensed to practice in Tennessee (license number F01191764) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013474352.

Contact Information

Chelsea Lane Gondek,
961 Spring Creek Rd Ste 300,
East Ridge, TN 37412
(423) 839-9787
Not Available

Map and Direction




Provider's Profile

Full NameChelsea Lane Gondek
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location961 Spring Creek Rd Ste 300, East Ridge, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chelsea Lane Gondek graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1013474352
  • Provider Enumeration Date: 02/22/2019
  • Last Update Date: 03/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012243652
  • Enrollment ID: I20190719001717

Medical Identifiers

Medical identifiers for Chelsea Lane Gondek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013474352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F01191764 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Twelvestone Infusion Centers Llc680015142446

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. Chelsea Lane Gondek allows following entities to bill medicare on her behalf.
Entity NameCrossroads Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073539607
PECOS PAC ID: 3779544895
Enrollment ID: O20071203000721
Entity NameTwelvestone Infusion Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447764857
PECOS PAC ID: 6800151424
Enrollment ID: O20180601002123

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. Chelsea Lane Gondek 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
Chelsea Lane Gondek,
961 Spring Creek Rd Ste 300,
East Ridge, TN 37412-3976

Ph: (770) 289-3244
Chelsea Lane Gondek,
961 Spring Creek Rd Ste 300,
East Ridge, TN 37412

Ph: (423) 839-9787

Reviews and Comments


Nurse Practitioner Nurses in East Ridge, TN

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Practice Location: 1508 Tombras Ave, East Ridge, TN 37412
Phone: 423-867-4969    Fax: 423-867-4971

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.