Donna Jane Waddell, NP is a medicare enrolled "Nurse Practitioner - Family" in Henry, Tennessee. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Waddell Clinic Primary Care And Aesthetics Pllc, Christian Family Medicine, Inc. and her current practice location is
9785 Highway 79 S, Henry, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 243-1450.
Donna Jane Waddell is licensed to practice in Tennessee (license number 13942) 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 1871733162.
Provider's Profile
| Full Name | Donna Jane Waddell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 9785 Highway 79 S, Henry, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Donna Jane Waddell graduated from nursing school in 2008
NPI Data:
- NPI Number: 1871733162
- Provider Enumeration Date: 02/25/2009
- Last Update Date: 05/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002973542
- Enrollment ID: I20090326000656
Medical Identifiers
Medical identifiers for Donna Jane Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871733162 | NPI | - | NPPES |
| 3380640 | Other | TN | MEDICAID GROUP |
| 3380640 | Other | TN | MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 13942 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 13942 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Waddell Clinic Primary Care And Aesthetics Pllc | 2769835164 | 2 |
| Christian Family Medicine, Inc. | 7315903978 | 38 |
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. Donna Jane Waddell allows following entities to bill medicare on her behalf.
| Entity Name | Christian Family Medicine, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043252620
PECOS PAC ID: 7315903978
Enrollment ID: O20041206000331 |
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| Entity Name | Waddell Clinic Primary Care & Aesthetics Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851164560
PECOS PAC ID: 2769835164
Enrollment ID: O20240201003092 |
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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. Donna Jane Waddell 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 |
|---|
Donna Jane Waddell, NP
9785 Highway 79 S,
Henry, TN 38231-3613
Ph: (731) 243-1450 | Donna Jane Waddell, NP
9785 Highway 79 S,
Henry, TN 38231-3613
Ph: (731) 243-1450 |
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