Miss Jennifer R Spry, PA-C is a medicare enrolled "Physician Assistant - Medical" in Chattanooga,, Tennessee. Her current practice location is
2525 Desales Avenue, Chattanooga,, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 607-1981.
Miss Jennifer R Spry is licensed to practice in Tennessee (license number 2216) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992056782.
Provider's Profile
Full Name | Miss Jennifer R Spry |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 2525 Desales Avenue, Chattanooga,, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992056782
- Provider Enumeration Date: 09/20/2012
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082868807
- Enrollment ID: I20130205000043
Medical Identifiers
Medical identifiers for Miss Jennifer R Spry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992056782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 2216 (Tennessee) | Primary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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. Miss Jennifer R Spry 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 |
Miss Jennifer R Spry, PA-C 3771 Hearthstone Cir, Chattanooga, TN 37415-3593 Ph: (931) 607-1981 | Miss Jennifer R Spry, PA-C 2525 Desales Avenue, Chattanooga,, TN 37404 Ph: (931) 607-1981 |
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