Marissa Lyn Withrow, - Medicare Nurse Practitioner in Cleveland, TN

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Marissa Lyn Withrow, is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Tennessee Pc and her current practice location is 2424 N Ocoee St, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Marissa Lyn Withrow is licensed to practice in Tennessee (license number 23903) 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 1023505245.

Contact Information

Marissa Lyn Withrow,
2424 N Ocoee St,
Cleveland, TN 37311
(866) 389-2727
(401) 216-3854

Map and Direction




Provider's Profile

Full NameMarissa Lyn Withrow
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2424 N Ocoee St, Cleveland, 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:
  • Marissa Lyn Withrow graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1023505245
  • Provider Enumeration Date: 04/13/2018
  • Last Update Date: 12/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2769728138
  • Enrollment ID: I20190107002930

Medical Identifiers

Medical identifiers for Marissa Lyn Withrow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023505245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23903 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Tennessee Pc296142899086

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. Marissa Lyn Withrow allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457323164
PECOS PAC ID: 2961428990
Enrollment ID: O20051019000798

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. Marissa Lyn Withrow 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
Marissa Lyn Withrow,
183 Jenkins Rd Ne,
Cleveland, TN 37312-6623

Ph: () -		Marissa Lyn Withrow,
2424 N Ocoee St,
Cleveland, TN 37311

Ph: (866) 389-2727

Reviews and Comments


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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.