Heather Bohannon-iyama, - Medicare Nurse Practitioner in Tullahoma, TN

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Heather Bohannon-iyama, is a medicare enrolled "Nurse Practitioner - Family" in Tullahoma, Tennessee. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 603b Lake Way Pl, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 393-2632.

Heather Bohannon-iyama is licensed to practice in Tennessee (license number 19097) 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 1447654132.

Contact Information

Heather Bohannon-iyama,
603b Lake Way Pl,
Tullahoma, TN 37388-4740
(931) 393-2632
Not Available

Map and Direction




Provider's Profile

Full NameHeather Bohannon-iyama
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location603b Lake Way Pl, Tullahoma, 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:
  • Heather Bohannon-iyama graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1447654132
  • Provider Enumeration Date: 10/09/2014
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032432943
  • Enrollment ID: I20141230000720

Medical Identifiers

Medical identifiers for Heather Bohannon-iyama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447654132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 19097 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 19097 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adoration Home Health, LlcNashville, TNHome health agency
Tennova Healthcare-hartonTullahoma, TNHospital

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. Heather Bohannon-iyama allows following entities to bill medicare on her behalf.
Entity NameMaxmed Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336605864
PECOS PAC ID: 3678807393
Enrollment ID: O20190628000810
Entity NameIntegrated Wound Care Tennessee Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215593991
PECOS PAC ID: 8527394477
Enrollment ID: O20190730002619

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. Heather Bohannon-iyama 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
Heather Bohannon-iyama,
Po Box 143,
Tullahoma, TN 37388-0143

Ph: (931) 393-2362		Heather Bohannon-iyama,
603b Lake Way Pl,
Tullahoma, TN 37388-4740

Ph: (931) 393-2632

Reviews and Comments


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Phone: 931-461-4921    Fax: 931-461-4677
Kacy Mikala Kirk, NP
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Jason A. Martin,
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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.