Mrs Terri W Belknap, CRNA in Chattanooga, TN - Medicare Nurse Anesthetist, Certified Registered

Mrs Terri W Belknap, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chattanooga, Tennessee. Her current practice location is 975 E. Third Street, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 778-7608.

Mrs Terri W Belknap is licensed to practice in Tennessee (license number APN10786) 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 1639144553.

Contact Information

	Mrs Terri W Belknap, CRNA
	975 E. Third Street, Chattanooga, TN 37403-2147
	(423) 778-7608
	(423) 778-2360

Map and Direction

Provider's Profile

Full Name	Mrs Terri W Belknap
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	975 E. Third Street, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639144553
Provider Enumeration Date: 02/22/2006
Last Update Date: 06/16/2009

Medicare PECOS Information:

PECOS PAC ID: 0648231563
Enrollment ID: I20240710003891

Medical Identifiers

Medical identifiers for Mrs Terri W Belknap such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639144553	NPI	-	NPPES
3633850	Medicaid	TN
109547	Medicaid	AL
052381637I	Medicaid	GA
4216576	Other	TN	BLUE CROSS BLUE SHIELD OF TN
4094800	Other	TN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN64278 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APN10786 (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 Terri W Belknap allows following entities to bill medicare on her behalf.

Entity Name	Sunshine State Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003

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 Terri W Belknap 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 Terri W Belknap, CRNA Po Box 11225, Chattanooga, TN 37401-2225 Ph: (423) 892-5602	Mrs Terri W Belknap, CRNA 975 E. Third Street, Chattanooga, TN 37403-2147 Ph: (423) 778-7608

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Chattanooga, TN

Megan A Spears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401
Mr. Edward Brian Hallock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401
Mr. Glen Roland Horne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-206-5040
Amy T. Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355
Eun Hyea Godbold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-495-2525
Christina Michelle Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C235, Chattanooga, TN 37403 Phone: 423-602-8400
Mrs. Julie D Baggett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355

Mrs Terri W Belknap, CRNA - Medicare Nurse Anesthetist, Certified Registered in Chattanooga, TN