Mark Wade Creasey, FNP-C - Medicare Nurse Practitioner in Memphis, TN

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Mark Wade Creasey, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. His current practice location is 6515 Poplar Ave Ste 106, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 406-4542.

Mark Wade Creasey is licensed to practice in Tennessee (license number 34775) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023048303.

Contact Information

Mark Wade Creasey, FNP-C
6515 Poplar Ave Ste 106,
Memphis, TN 38119-4878
(615) 406-4542
Not Available

Map and Direction




Provider's Profile

Full NameMark Wade Creasey
GenderMale
SpecialityNurse Practitioner - Family
Location6515 Poplar Ave Ste 106, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023048303
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 05/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890143705
  • Enrollment ID: I20231201001957

Medical Identifiers

Medical identifiers for Mark Wade Creasey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023048303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 34775 (Tennessee)Primary

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. Mark Wade Creasey allows following entities to bill medicare on his behalf.
Entity NameOrtho Express Holding Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780218289
PECOS PAC ID: 1951724392
Enrollment ID: O20230530000392

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. Mark Wade Creasey 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
Mark Wade Creasey, FNP-C
206 Oxford Rd,
New Albany, MS 38652-3115

Ph: (662) 534-2298		Mark Wade Creasey, FNP-C
6515 Poplar Ave Ste 106,
Memphis, TN 38119-4878

Ph: (615) 406-4542

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.