Mrs Keri Maizan, NP in Clarksville, TN - Medicare Nurse Practitioner

Mrs Keri Maizan, NP is a medicare enrolled "Nurse Practitioner - Family" in Clarksville, Tennessee. Her current practice location is 305 Dover Rd, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 552-6722.

Mrs Keri Maizan is licensed to practice in Tennessee (license number 19935) 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 1992192892.

Contact Information

	Mrs Keri Maizan, NP
	305 Dover Rd, Clarksville, TN 37042-4157
	(931) 552-6722
	(931) 552-6979

Map and Direction

Provider's Profile

Full Name	Mrs Keri Maizan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	305 Dover Rd, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992192892
Provider Enumeration Date: 04/20/2015
Last Update Date: 07/09/2015

Medicare PECOS Information:

PECOS PAC ID: 9133439391
Enrollment ID: I20151030001670

Medical Identifiers

Medical identifiers for Mrs Keri Maizan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992192892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19935 (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 Keri Maizan allows following entities to bill medicare on her behalf.

Entity Name	Saint Thomas Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470

Entity Name	Womens Group Of Franklin Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578672408 PECOS PAC ID: 1759360001 Enrollment ID: O20040719001324

Entity Name	Gary W Cole
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265689533 PECOS PAC ID: 2365505260 Enrollment ID: O20090120000100

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 Keri Maizan 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 Keri Maizan, NP 305 Dover Rd, Clarksville, TN 37042-4157 Ph: (931) 552-6722	Mrs Keri Maizan, NP 305 Dover Rd, Clarksville, TN 37042-4157 Ph: (931) 552-6722

Reviews and Comments

Nurse Practitioner Nurses in Clarksville, TN

Amber L Schacht, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 881 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-4685 Fax: 931-245-2117
Mrs. Brittney Wilkinson Lesser, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Ln Ste 301, Clarksville, TN 37040 Phone: 931-431-4677
Katherine R Harrison, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Weatherly, Suite 201, Clarksville, TN 37043 Phone: 931-648-1912 Fax: 931-648-1277
Ms. Elizabeth Bator, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Ted A Crozr Blvd Ste A, Clarksville, TN 37043 Phone: 931-538-3039 Fax: 931-245-5484
Danielle Reine Schaaf, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Pageant Ln Ste 307, Clarksville, TN 37040 Phone: 931-906-2001
Willie Lance Lemusu, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Jefferson St, Clarksville, TN 37040 Phone: 931-266-4999
Jennifer A Nelson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Otis Smith Dr, Clarksville, TN 37043 Phone: 931-553-6666 Fax: 931-553-4006

Mrs Keri Maizan, NP - Medicare Nurse Practitioner in Clarksville, TN