Eric Bornemann, RN, CPNP-PC - Medicare Nurse Practitioner in Sewanee, TN

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Eric Bornemann, RN, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Sewanee, Tennessee. His current practice location is 1318 University Ave, Sewanee, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 598-9761.

Eric Bornemann is licensed to practice in Tennessee (license number 17935) 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 1972930733.

Contact Information

Eric Bornemann, RN, CPNP-PC
1318 University Ave,
Sewanee, TN 37375-2336
(931) 598-9761
Not Available

Map and Direction




Provider's Profile

Full NameEric Bornemann
GenderMale
SpecialityNurse Practitioner - Pediatrics
Location1318 University Ave, Sewanee, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972930733
  • Provider Enumeration Date: 10/10/2013
  • Last Update Date: 10/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1456726611
  • Enrollment ID: I20230331002258

Medical Identifiers

Medical identifiers for Eric Bornemann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972930733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 17935 (Tennessee)Primary
363LP0200XNurse Practitioner - Pediatrics RN2281187 (Massachusetts)Secondary

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. Eric Bornemann allows following entities to bill medicare on his behalf.
Entity NameAmg-southern Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206

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. Eric Bornemann 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
Eric Bornemann, RN, CPNP-PC
99 Walnut St, Apt. 205,
Chattanooga, TN 37403-1134

Ph: (617) 279-9202		Eric Bornemann, RN, CPNP-PC
1318 University Ave,
Sewanee, TN 37375-2336

Ph: (931) 598-9761

Reviews and Comments


Nurse Practitioner Nurses in Sewanee, TN

Mrs. Brooke Shoemaker Moody, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: University Wellness Center 604 University Avenue, Sewanee, TN 37383
Phone: 931-598-1270    
Anne Milner Sitz, FNP, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1314 University Ave, Sewanee, TN 37375
Phone: 931-598-5648    Fax: 931-598-9984
Mindy D Holloway, ACNP-BC, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 604 University Avenue, Sewanee, TN 37375
Phone: 931-598-1270    Fax: 833-642-0898

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.