Jacqueline Heather Edleblute, CRNP in Athens, TN

Jacqueline Heather Edleblute, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Athens, Tennessee. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dx Mso Pllc and her current practice location is 2037 Congress Pkwy S, Athens, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 381-0152.

Jacqueline Heather Edleblute is licensed to practice in Tennessee (license number 31469) 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 1982223582.

Contact Information

	Jacqueline Heather Edleblute, CRNP
	2037 Congress Pkwy S, Athens, TN 37303-2813
	(423) 381-0152
	(717) 812-3950

Map and Direction

Provider's Profile

Full Name	Jacqueline Heather Edleblute
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2037 Congress Pkwy S, Athens, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Heather Edleblute graduated from nursing school in 2019

NPI Data:

NPI Number: 1982223582
Provider Enumeration Date: 04/14/2020
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7618307141
Enrollment ID: I20220808000301

Medical Identifiers

Medical identifiers for Jacqueline Heather Edleblute such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982223582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	31469 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dx Mso Pllc	7719131101	65

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. Jacqueline Heather Edleblute allows following entities to bill medicare on her behalf.

Entity Name	Crossroads Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672

Entity Name	Dx Mso Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017

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. Jacqueline Heather Edleblute 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
Jacqueline Heather Edleblute, CRNP 2037 Congress Pkwy S, Athens, TN 37303-2813 Ph: (423) 381-0152	Jacqueline Heather Edleblute, CRNP 2037 Congress Pkwy S, Athens, TN 37303-2813 Ph: (423) 381-0152

Reviews and Comments

Nurse Practitioner Nurses in Athens, TN

Elizabeth Thompson, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Epperson St, Athens, TN 37303 Phone: 423-745-7500
Martha Jean Pascarella, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 719 Cook Dr, Suite 102, Athens, TN 37303 Phone: 423-745-1277 Fax: 423-745-2188
Rachel Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2336 Congress Pkwy S, Athens, TN 37303 Phone: 865-637-9711 Fax: 423-649-2794
Mr. Nicholas Joseph Beaumonte Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Decatur Pike, Athens, TN 37303 Phone: 423-746-1410
Cheryl Ann Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Epperson St, Athens, TN 37303 Phone: 423-745-7500 Fax: 423-745-7501
Constance F Cowherd, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 421 Old Riceville Rd Ste 2, Athens, TN 37303 Phone: 423-744-8755 Fax: 423-744-8568
Molly Pritchett, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1874 Decatur Pike, Athens, TN 37303 Phone: 423-746-5973

Jacqueline Heather Edleblute, CRNP - Medicare Nurse Practitioner in Athens, TN