Jill T Proctor, ANP in Clarksville, TN - Medicare Nurse Practitioner

Jill T Proctor, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Clarksville, Tennessee. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cumberland Skin Surgery And Dermatology and her current practice location is 781 Weatherly Dr Apt C, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 444-5040.

Jill T Proctor is licensed to practice in Tennessee (license number 7799) 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 1639250624.

Contact Information

	Jill T Proctor, ANP
	781 Weatherly Dr Apt C, Clarksville, TN 37043-8954
	(931) 444-5040
	Not Available

Map and Direction

Provider's Profile

Full Name	Jill T Proctor
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	781 Weatherly Dr Apt C, Clarksville, 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:

Jill T Proctor graduated from nursing school in 1999

NPI Data:

NPI Number: 1639250624
Provider Enumeration Date: 10/18/2006
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1850694720
Enrollment ID: I20181005000271

Medical Identifiers

Medical identifiers for Jill T Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639250624	NPI	-	NPPES
7799	Other	TN	APN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	7799 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cumberland Skin Surgery And Dermatology	0941391338	53

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. Jill T Proctor allows following entities to bill medicare on her behalf.

Entity Name	Cumberland Skin Surgery And Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922138247 PECOS PAC ID: 0941391338 Enrollment ID: O20070814000893

Entity Name	Pinnacle Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20200401003176

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. Jill T Proctor 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
Jill T Proctor, ANP 820 Springer Dr, Lombard, IL 60148-6413 Ph: (815) 744-8554	Jill T Proctor, ANP 781 Weatherly Dr Apt C, Clarksville, TN 37043-8954 Ph: (931) 444-5040

Reviews and Comments

Nurse Practitioner Nurses in Clarksville, TN

Amber L Schacht, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 881 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-4685 Fax: 931-245-2117
Mrs. Brittney Wilkinson Lesser, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Ln Ste 301, Clarksville, TN 37040 Phone: 931-431-4677
Katherine R Harrison, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Weatherly, Suite 201, Clarksville, TN 37043 Phone: 931-648-1912 Fax: 931-648-1277
Ms. Elizabeth Bator, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Ted A Crozr Blvd Ste A, Clarksville, TN 37043 Phone: 931-538-3039 Fax: 931-245-5484
Danielle Reine Schaaf, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Pageant Ln Ste 307, Clarksville, TN 37040 Phone: 931-906-2001
Willie Lance Lemusu, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Jefferson St, Clarksville, TN 37040 Phone: 931-266-4999
Jennifer A Nelson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Otis Smith Dr, Clarksville, TN 37043 Phone: 931-553-6666 Fax: 931-553-4006

Jill T Proctor, ANP - Medicare Nurse Practitioner in Clarksville, TN