Mrs Connie J Fogle, FNP-BC in Brentwood, TN - Medicare Nurse Practitioner

Mrs Connie J Fogle, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Brentwood, Tennessee. Her current practice location is 750 Old Hickory Blvd Ste 1-262a, Brentwood, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 994-8416.

Mrs Connie J Fogle is licensed to practice in Tennessee (license number 24223) 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 1467894584.

Contact Information

	Mrs Connie J Fogle, FNP-BC
	750 Old Hickory Blvd Ste 1-262a, Brentwood, TN 37027-4528
	(615) 994-8416
	(855) 919-6233

Map and Direction

Provider's Profile

Full Name	Mrs Connie J Fogle
Gender	Female
Speciality	Nurse Practitioner - Family
Location	750 Old Hickory Blvd Ste 1-262a, Brentwood, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467894584
Provider Enumeration Date: 07/18/2013
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7113248444
Enrollment ID: I20190305002637

Medical Identifiers

Medical identifiers for Mrs Connie J Fogle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467894584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	24223 (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. Mrs Connie J Fogle allows following entities to bill medicare on her behalf.

Entity Name	Tennessee Home Based Primary Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720744345 PECOS PAC ID: 2860884137 Enrollment ID: O20220118001817

Entity Name	Abode Care Partners Al Vb Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518736834 PECOS PAC ID: 1658403704 Enrollment ID: O20240201000465

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. Mrs Connie J Fogle 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
Mrs Connie J Fogle, FNP-BC 26110 Emery Rd Ste 300, Warrensville Heights, OH 44128-5788 Ph: (440) 368-6868	Mrs Connie J Fogle, FNP-BC 750 Old Hickory Blvd Ste 1-262a, Brentwood, TN 37027-4528 Ph: (615) 994-8416

Reviews and Comments

Nurse Practitioner Nurses in Brentwood, TN

Jaclyn R Cominotto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1642 Westgate Cir Ste 202, Brentwood, TN 37027 Phone: 615-941-8550
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Carol Lehman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Cadillac Dr, Suite 250, Brentwood, TN 37027 Phone: 615-425-4287
Tracy Maurice Abney, DNP, PMHNP, ACNS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Continental Pl Ste 120, Brentwood, TN 37027 Phone: 615-488-3121
Nicola Ann Farmer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Westwood Pl Ste 100, Brentwood, TN 37027 Phone: 615-762-3350
Dhrumini Girishkumar Patel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1805 Williamson Ct, Brentwood, TN 37027 Phone: 615-454-6917 Fax: 888-491-9394

Mrs Connie J Fogle, FNP-BC - Medicare Nurse Practitioner in Brentwood, TN