Lacie Gail Gudger, NP-C - Medicare Nurse Practitioner in Englewood, TN

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Lacie Gail Gudger, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Englewood, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sweetwater Hospital Association and her current practice location is 3360 Highway 411 N, Englewood, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 887-5131.

Lacie Gail Gudger is licensed to practice in Tennessee (license number APN24561) 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 1114405354.

Contact Information

Lacie Gail Gudger, NP-C
3360 Highway 411 N,
Englewood, TN 37329-5276
(423) 887-5131
(423) 887-5917

Map and Direction




Provider's Profile

Full NameLacie Gail Gudger
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location3360 Highway 411 N, Englewood, 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:
  • Lacie Gail Gudger graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1114405354
  • Provider Enumeration Date: 07/31/2018
  • Last Update Date: 09/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6800147141
  • Enrollment ID: I20180925002804

Medical Identifiers

Medical identifiers for Lacie Gail Gudger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114405354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN181114 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family APN24561 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sweetwater Hospital AssociationSweetwater, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sweetwater Hospital Association660877377526

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. Lacie Gail Gudger allows following entities to bill medicare on her behalf.
Entity NameS&t Beverley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952723165
PECOS PAC ID: 8628201183
Enrollment ID: O20140507001798
Entity NameSweetwater Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558995399
PECOS PAC ID: 6608773775
Enrollment ID: O20210226000607

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. Lacie Gail Gudger 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
Lacie Gail Gudger, NP-C
6350 W Andrew Johnson Hwy,
Talbott, TN 37877-8605

Ph: (800) 355-3565		Lacie Gail Gudger, NP-C
3360 Highway 411 N,
Englewood, TN 37329-5276

Ph: (423) 887-5131

Reviews and Comments


Nurse Practitioner Nurses in Englewood, TN

Gwen A Guegold, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3360 Highway 411 N, Englewood, TN 37329
Phone: 423-887-5131    Fax: 423-887-5917
Theresa Caniff, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3360 Highway 411 N, Englewood, TN 37329
Phone: 423-887-5131    Fax: 423-887-5917
Deidre Brown, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 321 W Athens St, Englewood, TN 37329
Phone: 423-887-7100    Fax: 423-606-0122
Mary Alice Watts, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3360 Highway 411 N, Englewood, TN 37329
Phone: 423-887-5131    Fax: 423-887-5917
Susan R Goble, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3360 Highway 411 N, Englewood, TN 37329
Phone: 423-887-5131    Fax: 423-887-5917

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.